Individual provider Active NPI

Kuo Fon Huang, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Springfield, MO
National Provider Identifier
1710048822
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
111359 Issued in MO
Practice address
1235 E Cherokee St
Springfield, MO 65804-2203
Phone
(417) 820-3960
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X ME158508 FL
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 111359 MO Primary

Addresses

Primary practice location

1235 E Cherokee St
Springfield, MO 65804-2203

Mailing address

14100 Fivay Rd Ste 300
Hudson, FL 34667-7160
Phone (727) 372-4417

Other identifiers 1

IdentifierTypeStateIssuer
208643312MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, AR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050531000150 MO Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 4789626854 Reassigns benefits to 3 organizations
I20241024000937 AR Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 4789626854 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Cardiac Surgery
Education
University of Texas Medical Branch at Galveston, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Joplin LLCGroup PAC ID 0547300196, 288 clinicians
Mercy Clinic Springfield CommunitiesGroup PAC ID 7416865845, 1,121 clinicians
Northwest Physicians LLCGroup PAC ID 0244213213, 36 clinicians

Practice addresses (Care Compare)

100 Mercy Way
310 Mercy Clinic Joplin Cardiac Thoraci
Joplin, MO 64804-4524
Phone (417) 556-8600

1235 E Cherokee St
Springfield, MO 65804-2203
Phone (417) 820-2600

601 W Maple Ave
Springdale, AR 72764-5374

601 W Maple Ave
Springdale, AR 72764-5378

609 W Maple Ave
Springdale, AR 72764-5335
Phone (479) 757-8001

Hospital & facility affiliations

  • Mercy Hospital Springfield Hospital, Springfield, MO, CCN 260065
  • Northwest Medical Center-Springdale Hospital, Springdale, AR, CCN 040022

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
111359MOMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Physicians LLC CurrentSince Sep 12, 2024 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Jul 1, 2025 Accepting new patients
Mercy Health Northwest Arkansas Communities Current Accepting new patients
Northwest Physicians LLC CurrentSince Sep 12, 2024 Accepting new patients
Mercy Clinic Cardiovascular and Thoracic Surgery, LLC CurrentSince Aug 1, 2024 Accepting new patients
Mercy Clinic Cardiovascular and Thoracic Surgery, LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Aug 1, 2024 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Jul 1, 2025 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Jul 1, 2025 Accepting new patients
Mercy Clinic Joplin LLC CurrentSince Sep 23, 2024 Accepting new patients
Ozarks Medical Center Past Accepting new patients
Cardiology Consultants Past Accepting new patients

Locations

3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100

2710 S Rife Medical Ln
Rogers, AR 72758
Phone (479) 338-8000

2708 S Rife Medical Ln
Ste 210
Rogers, AR 72758
Phone (479) 338-3888

603 N Progress Ave
Siloam Springs, AR 72761
Phone (479) 215-3000

601 W Maple Ave
Ste 403
Springdale, AR 72764
Phone (479) 750-2742

601 W Maple Ave
Ste 704
Springdale, AR 72764
Phone (479) 521-2752

1 Hospital Dr
Columbia, MO 65212
Phone (573) 882-2568

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

100 Mercy Way
Ste 310
Joplin, MO 64804

1605 Martin Springs Dr
Ste 330
Rolla, MO 65401
Phone (573) 458-6379

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

625 S New Ballas Rd
#R7040
Saint Louis, MO 63141

10012 Kennerly Rd
Ste 101
Saint Louis, MO 63128
Phone (314) 525-4325

1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115

Interoperability endpoints

  • Direct secure messaging: kuo.huang.1@2229.direct.athenahealth.com
  • Direct secure messaging: khuang1074@directb.mercy.net

Organizations & group practices 12

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 10

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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1710048822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 FIVAY RD STE 300",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677160",
            "telephone_number": "727-372-4417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 E CHEROKEE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042203",
            "telephone_number": "417-820-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "KUO",
        "middle_name": "FON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME158508",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MO",
            "license": "111359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208643312",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.