Individual provider Active NPI

Kenneth Sunghoon Choi, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Denison, TX
National Provider Identifier
1598055154
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
Q8858 Issued in TX
Practice address
4616 US Hwy 75 Ste 203
Denison, TX 75020
Phone
(903) 416-6470
Fax
(903) 416-6471
NPI assigned
Apr 15, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X Q8858 TX
Pain Medicine (Anesthesiology) Physician 207LP2900X Q8858 TX Primary

Addresses

Primary practice location

4616 US Hwy 75 Ste 203
Denison, TX 75020

Mailing address

5012 S US Hwy 75, Suite 300
Attn Billing
Denison, TX 75020-4587
Phone (903) 416-6470

Other practice location 1

5012 S US Highway 75
Suite 275
Denison, TX 75020-4587
Phone (903) 416-6470

Other identifiers 2

IdentifierTypeStateIssuer
200647920AMedicaidOK
360317701MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160721001837 TX Practitioner - Pain ManagementPractitioner - Anesthesiology 7315255429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texomacare Specialty PhysiciansGroup PAC ID 4880858364, 37 clinicians

Practice addresses (Care Compare)

5012 S US Hwy 75
Suite 100
Denison, TX 75020-4597
Phone (903) 416-6325

5012 S US Hwy 75
Suite 275
Denison, TX 75020-4632
Phone (903) 416-6550

5016 S US Hwy 75
Denison, TX 75020-4584
Phone (903) 416-4030

Hospital & facility affiliations

  • Texoma Medical Center Hospital, Denison, TX, CCN 450324

Merit-based Incentive Payment System (MIPS)

Final score
76.84 of 100Reported as group
Quality
57.18
Promoting interoperability
86
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Uhs of Texoma, Inc Past Accepting new patients
Texomacare Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kenneth.choi@tcsp.eclinicaldirectplus.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1598055154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5012 S US HWY 75, SUITE 300",
            "address_2": "ATTN BILLING",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204587",
            "telephone_number": "903-416-6470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4616 US HWY 75 STE 203",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "75020",
            "telephone_number": "903-416-6470",
            "fax_number": "903-416-6471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5012 S US Highway 75",
            "address_2": "Suite 275",
            "address_purpose": "LOCATION",
            "city": "Denison",
            "state": "TX",
            "postal_code": "750204587",
            "country_code": "US",
            "telephone_number": "903-416-6470",
            "fax_number": "903-416-6471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOI",
        "first_name": "KENNETH",
        "middle_name": "SUNGHOON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-15",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "Q8858",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "Q8858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200647920A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "360317701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denison, TX

Sources for this page

Verify at the official NPI Registry.