Individual provider Active NPI

Kiro John Yun, MD

  • Otolaryngology Physician
  • Elizabethtown, KY
National Provider Identifier
1669473468
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
28644 Issued in KY
Practice address
101 Financial PL Ste 104
Elizabethtown, KY 42701-8481
Phone
(270) 765-5127
Fax
(270) 765-5337
NPI assigned
Aug 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 28644 KY Primary

Addresses

Primary practice location

101 Financial PL Ste 104
Elizabethtown, KY 42701-8481

Mailing address

906 Woodland Dr
Suite 102
Elizabethtown, KY 42701-2752
Phone (270) 765-5127

Other identifiers 1

IdentifierTypeStateIssuer
64286446MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20040917000605 KY Practitioner - OtolaryngologyPractitioner - Allergy/ImmunologyPractitioner - Plastic and Reconstructive SurgeryPractitioner - Maxillofacial Surgery 9032187018 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Allergy/Immunology, Maxillofacial Surgery, Plastic and Reconstructive Surgery
Education
University of Minnesota Medical School, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

2411 Ring Rd
Suite 105
Elizabethtown, KY 42701-5930
Phone (270) 706-5265

Hospital & facility affiliations

  • Baptist Health Hardin Hospital, Elizabethtown, KY, CCN 180012

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux16
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Oct 1, 2023 Accepting new patients
Baptist Health Medical Group Inc Otolaryngology Current Accepting new patients
Baptist Health Medical Group Inc CurrentSince Oct 1, 2023 Accepting new patients
Heartland ENT & Allergy Center, P.S.C. Otolaryngology CurrentSince Jan 1, 1987 Accepting new patients

Locations

101 Financial Pl
Ste 104
Elizabethtown, KY 42701
Phone (270) 765-5127

2411 Ring Rd
Ste 105
Elizabethtown, KY 42701
Phone (270) 706-5265

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

Organizations & group practices 4

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": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1669473468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 WOODLAND DR",
            "address_2": "SUITE 102",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012752",
            "telephone_number": "270-765-5127",
            "fax_number": "270-765-2653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 FINANCIAL PL STE 104",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427018481",
            "telephone_number": "270-765-5127",
            "fax_number": "270-765-5337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUN",
        "first_name": "KIRO",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "KY",
            "license": "28644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64286446",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

Verify at the official NPI Registry.