Active NPI
Sam U Ho, M.D.
- Neurology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 036-049378
- Practice address
- 259 E Erie St Ste 1900
Chicago, IL 60611-3246 - Phone
- (312) 695-7950
- Fax
- (312) 695-5747
- NPI assigned
- Mar 28, 2006
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 036-049378 | IL | Primary |
Addresses
Primary practice location
259 E Erie St Ste 1900
Chicago, IL 60611-3246
Mailing address
175 E Delaware PL Apt 5023
Chicago, IL 60611-7717
Phone (312) 787-9499
Other practice location 1
201 E Huron St
Suite 12-202
Chicago, IL 60611-3197
Phone (312) 787-9499
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130000480 | Other | RR MEDICARE | |
| 216-09854-34 | Other | IL | BC/BS |
| R014672 | Other | CHAMPUS | |
| 638431 | Other | IL | PTAN |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Northwestern University Feinberg Medical School, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
259 E Erie St
Suite 1900
Chicago, IL 60611-3246
Phone (312) 695-7950
Hospital & facility affiliations
- Northwestern Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.19 of 100
- Quality
- 83.05
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-049378 | IL | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Central Dupage Physician Group | Past | Accepting new patients |
Locations
Dept 5777
Carol Stream, IL 60122
Carol Stream, IL 60122
Phone (630) 933-3300
259 E Erie St
Ste 1900
Chicago, IL 60611
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
-
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1497859649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551484800000",
"number": "1851352272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 E DELAWARE PL APT 5023",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606117717",
"telephone_number": "312-787-9499",
"fax_number": "312-787-9498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "259 E ERIE ST STE 1900",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606113246",
"telephone_number": "312-695-7950",
"fax_number": "312-695-5747"
}
],
"practiceLocations": [
{
"address_1": "201 E Huron St",
"address_2": "Suite 12-202",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606113197",
"country_code": "US",
"telephone_number": "312-787-9499",
"fax_number": "312-787-9498",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HO",
"first_name": "SAM",
"middle_name": "U",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-28",
"last_updated": "2019-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IL",
"license": "036-049378",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "130000480",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "216-09854-34",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "R014672",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "638431",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2019; 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.