Active NPI
Qingwu Kong, MD
- Orthopaedic Surgery Physician
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MT214142
- Practice address
- 2450 Riverside Ave # R200
Minneapolis, MN 55454-1450 - Phone
- (612) 273-7951
- NPI assigned
- Jun 15, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MT214142 | PA | Primary |
Addresses
Primary practice location
2450 Riverside Ave # R200
Minneapolis, MN 55454-1450
Mailing address
2450 Riverside Ave # R200
Minneapolis, MN 55454-1450
Phone (612) 273-7951
Other practice location 1
230 N Broad St.
Philadelphia, PA 19102
Phone (215) 762-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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
- Orthopedic Surgery
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17270 Red Oak Dr
Suite 200
Houston, TX 77090-2632
Phone (281) 440-6960
Hospital & facility affiliations
- Carter Healthcare
- Signature Health Services
- Tops Surgical Specialty Hospital
- St Luke'S the Woodlands Hospital
- CHI St Lukes Lakeside Hospital
- HCA Houston Healthcare Northwest
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 33 |
| Knee replacement | 17 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT214142 | PA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BHS Physicians Network, Inc | Current | Accepting new patients | |
| BHS Physicians Network, Inc | Current | Accepting new patients | |
| BHS Specialty Network Inc | Past | Accepting new patients | |
| New Medical Horizons II, LTD. | Past | Accepting new patients |
Locations
17270 Red Oak Dr
Ste 205
Houston, TX 77090
13333 Dotson Rd
Ste 180
Houston, TX 77070
Phone (832) 912-7804
17270 Red Oak Dr
Ste 200
Houston, TX 77090
17270 Red Oak Dr
Ste 190
Houston, TX 77090
5655 W Sam Houston Pkwy N
Houston, TX 77041
Phone (281) 500-8900
3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126
3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126
2255 E Mossy Oaks Rd
Ste 440
Spring, TX 77389
Interoperability endpoints
- qkong376066@direct.stlukeshealth.org
- qkong662020@direct.centracare.com
- qingwu.kong.1@1438.direct.athenahealth.com
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.
-
- Family Medicine Physician
- San Antonio, TX
- NPI 1598958431
-
- Durable Medical Equipment & Medical Supplies
- Boerne, TX
- NPI 1730079286
-
- Cardiovascular Disease Physician
- San Antonio, TX
- NPI 1831492651
-
- General Acute Care Hospital
- Houston, TX
- NPI 1477583334
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Spring, TX
- NPI 1457415572
-
- General Acute Care Hospital
- Houston, TX
- NPI 1740450121
-
- Home Health Agency
- Baytown, TX
- NPI 1548319288
-
- Special Hospital
- The Woodlands, TX
- NPI 1184868879
-
- General Acute Care Hospital
- The Woodlands, TX
- NPI 1942208616
-
- General Acute Care Hospital
- Houston, TX
- NPI 1144203662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656547200000",
"number": "1760912372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2450 RIVERSIDE AVE # R200",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554541450",
"telephone_number": "612-273-7951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2450 RIVERSIDE AVE # R200",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554541450",
"telephone_number": "612-273-7951"
}
],
"practiceLocations": [
{
"address_1": "230 N Broad St.",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "19102",
"country_code": "US",
"telephone_number": "215-762-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KONG",
"first_name": "QINGWU",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-15",
"last_updated": "2022-06-30",
"certification_date": "2022-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "PA",
"license": "MT214142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.