Active NPI
Il-Gyu Cho, MD
- Child & Adolescent Psychiatry Physician
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- MD38156
- 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, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD38156 | AL | MD | Child & Adolescent Psychiatry Physician |
| 2015-02357 | NC | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capstone Health Services Foundation PC | Current | Accepting new patients | |
| Capstone Health Services Foundation PC | Current | Accepting new patients | |
| Capstone Health Services Foundation PC | Current | Accepting new patients |
Locations
850 Peter Bryce Blvd
Tuscaloosa, AL 35401
Interoperability endpoints
- 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.
-
dba University Medical Center
- Family Medicine Physician
- Tuscaloosa, AL
- NPI 1740397751
-
dba University Medical Center Neurology
- Neurology Physician
- Tuscaloosa, AL
- NPI 1255212353
-
dba University Medical Center Demopolis
- Family Medicine Physician
- Demopolis, AL
- NPI 1952805400
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.