Active NPI
Jongwook Ham, MD
- Otolaryngology Physician
- Elgin, IL
National Provider Identifier
1700838992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 036109196
- Practice address
- 2050 Larkin Ave
Suite 102
Elgin, IL 60123 - Phone
- (847) 742-7458
- Fax
- (847) 742-0191
- NPI assigned
- May 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 036109196 | IL | Primary |
Addresses
Primary practice location
2050 Larkin Ave
Suite 102
Elgin, IL 60123
Mailing address
2050 Larkin Ave
Suite 102
Elgin, IL 60123
Phone (847) 742-7458
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036109196 | Medicaid | IL | |
| 791041149 | Other | IL | RAILROAD MEDICARE |
| 04500559 | Other | IL | BCBS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jham256083@direct.myadvocateaurora.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2050 Larkin Ave
Suite 102
Elgin, IL 60123-5888
Phone (847) 742-7458
Hospital & facility affiliations
- Advocate Sherman Hospital
- Northwestern Medicine Delnor Community Hospital
- Saint Joseph Hospital-Elgin
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associates in Ear Nose & Throat and Head & Neck Surgery | Current | Accepting new patients | |
| Audio-Logic Hearing Services, Inc. | Past | Accepting new patients |
Locations
2050 Larkin Ave
Ste 102
Elgin, IL 60123
Phone (847) 742-7458
Organizations & group practices 2
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.
-
- Specialist
- Elgin, IL
- NPI 1205989993
-
- Audiologist
- Elgin, IL
- NPI 1124128616
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elgin, IL
- NPI 1629026364
-
- General Acute Care Hospital
- Geneva, IL
- NPI 1407859655
-
- General Acute Care Hospital
- Elgin, IL
- NPI 1922846351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648944000000",
"number": "1700838992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2050 LARKIN AVE",
"address_2": "SUITE 102",
"city": "ELGIN",
"state": "IL",
"postal_code": "60123",
"telephone_number": "847-742-7458",
"fax_number": "847-742-0191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2050 LARKIN AVE",
"address_2": "SUITE 102",
"city": "ELGIN",
"state": "IL",
"postal_code": "60123",
"telephone_number": "847-742-7458",
"fax_number": "847-742-0191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAM",
"first_name": "JONGWOOK",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2022-04-03",
"certification_date": "2021-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "IL",
"license": "036109196",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036109196",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "791041149",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "04500559",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jham256083@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2050 Larkin Ave",
"address_2": "Suite 102",
"city": "Elgin",
"state": "IL",
"country_code": "US",
"postal_code": "60123",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Elgin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.