Individual provider Active NPI

Mickey J M Kuo, M.D.

  • Clinical Genetics (M.D.) Physician
  • Bethesda, MD
National Provider Identifier
1982090692
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Genetics (M.D.) PhysicianTaxonomy code 207SG0201X
License
D0087738 Issued in MD
Practice address
BG 10 RM 13N268
10 Center Dr
Bethesda, MD 20814
Phone
(301) 594-7487
NPI assigned
Apr 9, 2015
Last updated
Aug 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125067676 IL
Clinical Genetics (M.D.) Physician 207SG0201X D0087738 MD Primary
Pediatrics Physician 208000000X 036172200 IL

Addresses

Primary practice location

BG 10 RM 13N268
10 Center Dr
Bethesda, MD 20814

Mailing address

10 Center Dr
Bethesda, MD 20892-0004
Phone (301) 594-7487

Other practice location 1

2160 S. First Avenue
Loyola Outpatient Center, 4300
Maywood, IL 60153
Phone (708) 216-5368

Other practice location 2

675 N Saint Clair St Ste 18-200
Chicago, IL 60611-5929
Phone (312) 695-8630

Other names 1

  • Justin Myles Kuo Other name

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
I20160204002086 IL Order and Referring Only - Medical Genetics and GenomicsPractitioner - Medical Genetics and GenomicsPractitioner - Pediatric MedicinePractitioner - Internal Medicine 6800190208

Care Compare profile

Medicare Care Compare
Specialty
Medical Genetics and GenomicsAlso: Pediatric Medicine
Education
University of Texas Southwestern Medical School at Dallas, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

225 E Chicago Ave
Chicago, IL 60611-2991

Hospital & facility affiliations

National Provider Directory

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

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": "1428537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1982090692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CENTER DR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208920004",
            "telephone_number": "301-594-7487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BG 10 RM 13N268",
            "address_2": "10 CENTER DR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "20814",
            "telephone_number": "301-594-7487"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2160 S. First Avenue",
            "address_2": "Loyola Outpatient Center, 4300",
            "address_purpose": "LOCATION",
            "city": "Maywood",
            "state": "IL",
            "postal_code": "60153",
            "country_code": "US",
            "telephone_number": "708-216-5368",
            "fax_number": "708-216-3375",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "675 N Saint Clair St Ste 18-200",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606115929",
            "country_code": "US",
            "telephone_number": "312-695-8630",
            "fax_number": "312-695-2857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUO",
        "first_name": "MICKEY",
        "middle_name": "J M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-09",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125067676",
            "primary": false
        },
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "MD",
            "license": "D0087738",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036172200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUSTIN",
            "last_name": "KUO",
            "middle_name": "MYLES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.