Individual provider Active NPI

Qingwu Kong, MD

  • Orthopaedic Surgery Physician
  • Minneapolis, MN
National Provider Identifier
1760912372
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MT214142 Issued in PA
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

Updated by the provider on Jun 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230901003026 TX Practitioner - Orthopedic Surgery 0749553162 Reassigns benefits to 1 organization

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
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

17270 Red Oak Dr
Suite 200
Houston, TX 77090-2632
Phone (281) 440-6960

Hospital & facility affiliations

  • Carter Healthcare Home health agency, Spring, TX, CCN 679510
  • Signature Health Services Home health agency, Baytown, TX, CCN 678499
  • Tops Surgical Specialty Hospital Hospital, Houston, TX, CCN 450774
  • St Luke'S the Woodlands Hospital Hospital, The Woodlands, TX, CCN 450862
  • CHI St Lukes Lakeside Hospital Hospital, The Woodlands, TX, CCN 670059
  • HCA Houston Healthcare Northwest Hospital, Houston, TX, CCN 450638

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement33
Knee replacement17
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT214142PAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Physicians Network, Inc CurrentSince Jul 13, 2023 Accepting new patients
BHS Physicians Network, Inc CurrentSince Jul 13, 2023 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

  • Direct secure messaging: qkong376066@direct.stlukeshealth.org
  • Direct secure messaging: qkong662020@direct.centracare.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.