Active NPI
Vernon Koto, MD
- Emergency Medicine Physician
- Hoopeston, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 36066112
- Practice address
- 701 E. Orange St.
Hoopeston, IL 60942-1801 - Phone
- (217) 283-5531
- Fax
- (217) 283-7981
- NPI assigned
- Jun 1, 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 36066112 | IL | Primary |
Addresses
Primary practice location
701 E. Orange St.
Hoopeston, IL 60942-1801
Mailing address
611 W. Park St.
BWPC
Urbana, IL 61801-2500
Phone (217) 383-6792
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 930105285 | Other | IL | RRMCR |
| 0360661121 | Medicaid | IL | |
| 01620446 | Other | IL | BLUE CROSS |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040522000092 | IL | Practitioner - Emergency Medicine | 7315938891 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Hawaii John a. Burns School of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hoopeston Emergency Medicine Specialists LTD
Practice addresses (Care Compare)
701 E Orange St
Hoopeston, IL 60942-1801
Phone (708) 393-7537
Hospital & facility affiliations
- Carle Hoopeston Regional Health Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36066112 | IL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Health Medical Group | Emergency Medicine | Current | Accepting new patients |
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Hoopeston Emergency Medicine Specialists, LTD. | Emergency Medicine | Current | Accepting new patients |
| Hoopeston Community Memorial Hospital | Emergency Medicine | Current | Accepting new patients |
Locations
9532 Eagle Way
Chicago, IL 60678
49 S Waukegan Rd
Ste 200
Deerfield, IL 60015
Phone (847) 945-4575
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
701 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5531
9600 Gross Point Rd
Skokie, IL 60076
Phone (847) 677-9600
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
Interoperability endpoints
- vkotomd154786@carlehiedirect.net
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Hoopeston, IL
- NPI 1316965197
Emergency Medicine, IL
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
Emergency Medicine, IL
-
- Internal Medicine Physician
- Hoopeston, IL
- NPI 1043683014
Emergency Medicine, IL
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
- Critical Access Hospital
- Hoopeston, IL
- NPI 1366480873
-
- Rural Health Clinic/Center
- Hoopeston, IL
- NPI 1578504544
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Hoopeston, IL
- NPI 1366480873
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429747200000",
"number": "1902843733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 W. PARK ST.",
"address_2": "BWPC",
"city": "URBANA",
"state": "IL",
"postal_code": "618012500",
"telephone_number": "217-383-6792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 E. ORANGE ST.",
"city": "HOOPESTON",
"state": "IL",
"postal_code": "609421801",
"telephone_number": "217-283-5531",
"fax_number": "217-283-7981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOTO",
"first_name": "VERNON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-01",
"last_updated": "2015-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "36066112",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMCR",
"identifier": "930105285",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0360661121",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "01620446",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hoopeston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2015; 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.