Individual provider Active NPI

Vernon Koto, MD

  • Emergency Medicine Physician
  • Hoopeston, IL
National Provider Identifier
1902843733
Registry record updated Apr 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
36066112 Issued in IL
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

Updated by the provider on Apr 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
930105285OtherILRRMCR
0360661121MedicaidIL
01620446OtherILBLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 LTDGroup PAC ID 0941102446, 12 clinicians

Practice addresses (Care Compare)

701 E Orange St
Hoopeston, IL 60942-1801
Phone (708) 393-7537

Hospital & facility affiliations

  • Carle Hoopeston Regional Health Center Hospital, Hoopeston, IL, CCN 141316

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36066112ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group Emergency Medicine Current Accepting new patients
Hoopeston Community Memorial Hospital Current Accepting new patients
Endeavor Health Medical Group CurrentSince Nov 1, 2009 Accepting new patients
Hoopeston Community Memorial Hospital CurrentSince Oct 1, 2010 Accepting new patients
Hoopeston Emergency Medicine Specialists, LTD. Emergency Medicine CurrentSince Sep 15, 2010 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.