NPIMap

Individual provider Active NPI

Jongho Ham, MD

  • Internal Medicine Physician
  • Rolling Meadows, IL
National Provider Identifier
1720083777
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036096150 Issued in IL
Practice address
5999 New Wilke Rd
S-200, BLDG 2
Rolling Meadows, IL 60008
Phone
(847) 255-7107
Fax
(847) 255-7031
NPI assigned
Jun 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036096150 IL Primary

Addresses

Primary practice location

5999 New Wilke Rd
S-200, BLDG 2
Rolling Meadows, IL 60008

Mailing address

5999 New Wilke Rd
S-200, BLDG 2
Rolling Meadows, IL 60008-4502
Phone (847) 255-7107

Other identifiers 1

IdentifierTypeStateIssuer
036096150MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jham4149@direct.nch.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090921000298 IL Practitioner - Internal Medicine 2961557160 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

1200 W Algonquin Rd
Palatine, IL 60067-7373
Phone (847) 618-0535

2650 Ridge Ave
Evanston, IL 60201-1700

5999 New Wilke Rd
Suite 200
Rolling Meadows, IL 60008-4502
Phone (847) 618-0800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036096150ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince Dec 5, 2023 Accepting new patients
Northwest Community Health Services Inc Internal Medicine CurrentSince Apr 1, 2017 Accepting new patients
Northwest Community Health Services Inc CurrentSince Apr 1, 2017 Accepting new patients
Endeavor Health Medical Group Internal Medicine CurrentSince Dec 5, 2023 Accepting new patients

Locations

1051 W Rand Rd
Arlington Hts, IL 60004
Phone (847) 221-4601

800 W Central Rd
Arlington Hts, IL 60005
Phone (847) 618-6150

1450 Busch Pkwy
Buffalo Grove, IL 60089
Phone (847) 459-7860

9532 Eagle Way
Chicago, IL 60678

25233 Network Pl
Chicago, IL 60673

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

5999 New Wilke Rd
Ste 200
Rolling Meadows, IL 60008
Phone (847) 255-7107

5999 New Wilke Rd
Rolling Meadows, IL 60008
Phone (773) 749-8934

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 9

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1720083777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5999 NEW WILKE RD",
            "address_2": "S-200, BLDG 2",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600084502",
            "telephone_number": "847-255-7107",
            "fax_number": "847-255-7031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5999 NEW WILKE RD",
            "address_2": "S-200, BLDG 2",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "60008",
            "telephone_number": "847-255-7107",
            "fax_number": "847-255-7031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAM",
        "first_name": "JONGHO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036096150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036096150",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jham4149@direct.nch.org",
            "affiliation": "N",
            "address_1": "5999 New Wilke Rd",
            "address_2": "S-200, Bldg 2",
            "city": "Rolling Meadows",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rolling Meadows, IL

Sources for this page

Verify at the official NPI Registry.