Yoko Momoyama, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036104066 Issued in IL

Practice address

1801 S Highland Ave
Ste 130
Lombard, IL 60148

Phone

(630) 627-4722

NPI assigned

Mar 3, 2006

Last updated

Aug 16, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

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

Internal Medicine

Education

New York Medical College, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Dynamic Physical Therapy, Inc.Group PAC ID 4284607680, 41 clinicians

Dupage Medical Group LTDGroup PAC ID 5496667941, 1,326 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Residential Home Health Home health agency, Lisle, IL, CCN 147568
• First Venture Home Health Care, Inc Home health agency, Arlington Heights, IL, CCN 148264
• Serenity One Hospice and Palliative Care LLC Hospice, Lombard, IL, CCN 141694
• Lighthouse Hospice Care LLC Hospice, Naperville, IL, CCN 141713
• Advocate Good Samaritan Hospital Hospital, Downers Grove, IL, CCN 140288
• Elmhurst Memorial Hospital Hospital, Elmhurst, IL, CCN 140200
• Beacon Hill Nursing home, Lombard, IL, CCN 145522

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: ymomoyama3997@direct.edward.org

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.

• Dupage Medical Group LTD

  dba DuPage Medical Group

  • Multi-Specialty Clinic/Center
  • Downers Grove, IL
  • NPI 1801833983
  Medicare reassignment Care Compare group
• Dynamic Physical Therapy, Inc.

  dba Body Gears - Lincoln Park

  • Rehabilitation Clinic/Center
  • Chicago, IL
  • NPI 1962974824
  Care Compare group

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

• Advocate Health and Hospitals Corporation

  dba Advocate Good Samaritan Hospital

  • General Acute Care Hospital
  • Downers Grove, IL
  • NPI 1578670543
  Care Compare affiliation
• Elmhurst Memorial Hospital

  dba Endeavor Health Elmhurst Hospital

  • General Acute Care Hospital
  • Elmhurst, IL
  • NPI 1548306343
  Care Compare affiliation
• First Venture Home Healthcare, Inc.

  • Home Health Agency
  • Chicago, IL
  • NPI 1295967560
  Care Compare affiliation
• Lifespace Communities Inc

  dba Beacon Hill

  • Skilled Nursing Facility
  • Lombard, IL
  • NPI 1750328522

  Nursing home

  Care Compare affiliation
• Lighthouse Hospice Care LLC

  dba Lighthouse Hospice and Palliative Care

  • Community Based Hospice Care Agency
  • Naperville, IL
  • NPI 1982204699
  Care Compare affiliation
• Residential Home Health Illinois, LLC

  dba Residential Home Health

  • Home Health Agency
  • Lisle, IL
  • NPI 1336377365
  Care Compare affiliation
• Serenity One Hospice and Palliative Care LLC

  • Community Based Hospice Care Agency
  • Lombard, IL
  • NPI 1043671829
  Care Compare affiliation

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1801863253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 713260",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606771260",
            "telephone_number": "630-469-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 S HIGHLAND AVE",
            "address_2": "STE 130",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "60148",
            "telephone_number": "630-627-4722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOMOYAMA",
        "first_name": "YOKO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-03",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036104066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036104066",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ymomoyama3997@direct.edward.org",
            "affiliation": "N",
            "address_1": "1801 S Highland Ave",
            "address_2": "Ste 130",
            "city": "Lombard",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60148",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ymomoyama3997@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "address_1": "1801 S Highland Ave",
            "address_2": "Ste 130",
            "city": "Lombard",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mohit Patalia DDS PC (Reflection Dental)
• Mohammad I Mohiuddin I, RSA,CSA
• Lizette Mojica
• Janet M. Moloney, APN-CNP
• Momentum Counseling PLLC
• Maria Monardo
• Monte Nido Illinois, LLC (Monte Nido Chicago Lombard Day Treatment)
• Reevan Monteiro, PT, DPT
• Rachel Montgomery-Reichert
• Montys Home Medical Unit 2 (Montys Home Medical)

• Internal Medicine Physician in Lombard, IL
• Providers in Lombard, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.