John I Kung, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

36112354 Issued in IL

Practice address

19801 Governors Highway
Suite 160
Flossmoor, IL 60422-1002

Phone

(708) 957-0505

Fax

(708) 957-0506

NPI assigned

Aug 4, 2005

Last updated

Dec 20, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Electronic endpoints 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Orthopedic SurgeryAlso: Hand Surgery

Education

Georgetown University School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Orthopaedic and Hand Center SCGroup PAC ID 4284764440, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Advocate Trinity Hospital Hospital, Chicago, IL, CCN 140048
• Ingalls Memorial Hospital Hospital, Harvey, IL, CCN 140191

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Premier Orthopaedic and Hand Center, SC

  • Orthopaedic Surgery Physician
  • Flossmoor, IL
  • NPI 1568602480
  Medicare reassignment Care Compare group
• St Ignatius Surgical Services LLC

  • Ambulatory Surgical Clinic/Center
  • Flossmoor, IL
  • NPI 1730482944
  Authorized official Same address or phone
• Southland Bone & Joint Institute, S.C.

  • Orthopaedic Surgery Physician
  • Olympia Fields, IL
  • NPI 1194730960
  NPD (past)
• Franciscan Hammond Clinic LLC

  • Internal Medicine Physician
  • Munster, IN
  • NPI 1861791782
  NPD (past)
• Southland Bone & Joint Institute, PSC

  • Orthopaedic Surgery Physician
  • Munster, IN
  • NPI 1659522357
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Advocate Health and Hospitals Corporation

  dba Advocate South Suburban Hospital

  • General Acute Care Hospital
  • Hazel Crest, IL
  • NPI 1467560128
  Care Compare affiliation
• Advocate Health and Hospitals Corporation

  dba Advocate South Suburban Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1558479212
  Care Compare affiliation
• Ingalls Memorial Hospital

  • General Acute Care Hospital
  • Harvey, IL
  • NPI 1598756686
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1760483390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19801 GOVERNORS HIGHWAY",
            "address_2": "SUITE 160",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604221002",
            "telephone_number": "708-957-0505",
            "fax_number": "708-957-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19801 GOVERNORS HIGHWAY",
            "address_2": "SUITE 160",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604221002",
            "telephone_number": "708-957-0505",
            "fax_number": "708-957-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNG",
        "first_name": "JOHN",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-04",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "36112354",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "01059694A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200525750B",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200525750",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036112354",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jkung279345@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "19801 Governors Highway",
            "address_2": "Suite 160",
            "city": "Flossmoor",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604221002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christopher Koenig, PA-C
• Kimberly Kramer, RD, LDN
• Margaret Krol, LCSW
• Kimberly R Kruczek, D.O
• Lindsey Kulma, M.H.S., CCC-SLP/L
• Neal J Labana, MD
• Labcorp Testing
• Lake Anesthesia Associates
• Frank M. Lani, PH.D.
• Sherri L Larson, LCPC

• Orthopaedic Surgery Physician in Flossmoor, IL
• Providers in Flossmoor, IL by specialty
• Orthopaedic Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.

Verify at the official NPI Registry.