Active NPI
Jason Koh, MD
- Sports Medicine (Orthopaedic Surgery) Physician
- Skokie, IL
National Provider Identifier
1902834500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 036102963
- Practice address
- 9650 Gross Point Rd Ste 2900
Skokie, IL 60076 - Phone
- (847) 866-7846
- Fax
- (224) 251-2905
- NPI assigned
- Jun 30, 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 |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 036102963 | IL | Primary |
Addresses
Primary practice location
9650 Gross Point Rd Ste 2900
Skokie, IL 60076
Mailing address
9650 Gross Point Rd Ste 2900
Skokie, IL 60076-1214
Phone (847) 866-7846
Other practice location 1
1000 Central St
Suite 880
Evanston, IL 60201-1777
Phone (847) 570-2825
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jkoh168135@direct.northshore.org |
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
- Orthopedic Surgery
- Education
- Johns Hopkins University School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Advantage Physical Therapy and Sports Rehab, LLC
Practice addresses (Care Compare)
2650 Ridge Ave
Evanston, IL 60201-1700
9600 Gross Point Rd
Skokie, IL 60076-1214
9809 39TH Ave
Suite 2
Pleasant Prairie, WI 53158-3733
Phone (262) 925-5080
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.9 of 100
- Quality
- 75.91
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74.6
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 59 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Health Clinical Operations | Past | Accepting new patients |
Interoperability endpoints
- jkoh168135@direct.northshore.org
Organizations & group practices 2
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.
-
dba NorthShore University HealthSystem Faculty Practice Associates
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
-
dba Endeavor Health Highland Park Hospital
- Psychiatric Hospital Unit
- Highland Park, IL
- NPI 1770527236
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Endeavor Health Evanston Hospital
- General Acute Care Hospital
- Evanston, IL
- NPI 1184670549
-
dba Residential Home Health
- Home Health Agency
- Northbrook, IL
- NPI 1114673787
-
dba Endeavor Health Swedish Hospital
- General Acute Care Hospital
- Chicago, IL
- NPI 1831151257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613001600000",
"number": "1902834500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9650 GROSS POINT RD STE 2900",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600761214",
"telephone_number": "847-866-7846",
"fax_number": "224-251-2905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9650 GROSS POINT RD STE 2900",
"city": "SKOKIE",
"state": "IL",
"postal_code": "60076",
"telephone_number": "847-866-7846",
"fax_number": "224-251-2905"
}
],
"practiceLocations": [
{
"address_1": "1000 Central St",
"address_2": "SUITE 880",
"address_purpose": "LOCATION",
"city": "Evanston",
"state": "IL",
"postal_code": "602011777",
"country_code": "US",
"telephone_number": "847-570-2825",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOH",
"first_name": "JASON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2021-02-11",
"certification_date": "2021-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "IL",
"license": "036102963",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jkoh168135@direct.northshore.org",
"affiliation": "N",
"address_1": "9650 Gross Point Rd Ste 2900",
"city": "Skokie",
"state": "IL",
"country_code": "US",
"postal_code": "60076",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.