Individual provider Active NPI

Il-Gyu Cho, MD

  • Child & Adolescent Psychiatry Physician
National Provider Identifier
1659781581
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
MD38156 Issued in AL
Practice address
Brian D. Allgood Army Community Hospital (Bdaach)
Unit #15245; BLDG 3031
Apo, AP 96271
Phone
(315) 737-5668
NPI assigned
Apr 30, 2014
Last updated
May 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 2015-02357 NC
Child & Adolescent Psychiatry Physician 2084P0804X MD38156 AL Primary

Addresses

Primary practice location

Brian D. Allgood Army Community Hospital (Bdaach)
Unit #15245; BLDG 3031
Apo, AP 96271

Mailing address

Brian D. Allgood Army Community Hospital (Bdaach)
Unit #15245; BLDG 3031
Apo, AP 96271

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20200604002326 AL Practitioner - Psychiatry 9830313790 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD38156ALMDChild & Adolescent Psychiatry Physician
2015-02357NCMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capstone Health Services Foundation PC CurrentSince Dec 30, 2019 Accepting new patients
Capstone Health Services Foundation PC Current Accepting new patients
Capstone Health Services Foundation PC CurrentSince Dec 30, 2019 Accepting new patients

Locations

850 Peter Bryce Blvd
Tuscaloosa, AL 35401

Interoperability endpoints

  • Direct secure messaging: ilgyu.cho.p2@direct.umc.nextgenshare.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1659781581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "BRIAN D. ALLGOOD ARMY COMMUNITY HOSPITAL (BDAACH)",
            "address_2": "UNIT #15245; BLDG 3031",
            "city": "APO",
            "state": "AP",
            "postal_code": "96271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "MIL",
            "address_1": "BRIAN D. ALLGOOD ARMY COMMUNITY HOSPITAL (BDAACH)",
            "address_2": "UNIT #15245; BLDG 3031",
            "city": "APO",
            "state": "AP",
            "postal_code": "96271",
            "telephone_number": "315-737-5668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHO",
        "first_name": "IL-GYU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-30",
        "last_updated": "2024-05-06",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NC",
            "license": "2015-02357",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "AL",
            "license": "MD38156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.