Active NPI
Mickey J M Kuo, M.D.
- Clinical Genetics (M.D.) Physician
- Bethesda, MD
National Provider Identifier
1982090692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Genetics (M.D.) Physician
- License
- D0087738
- 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, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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 |
|---|---|---|---|---|
| I20160204002086 | IL | Order and Referring Only - Medical Genetics and Genomics | 6800190208 |
Care Compare profile
Medicare Care Compare- Specialty
- Medical Genetics and Genomics
- 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.
-
dba Lurie Children's Surgery Center in Northbrook
- Ambulatory Surgical Clinic/Center
- Northbrook, IL
- NPI 1013493824
Hospital
-
- Children's Hospital
- Chicago, IL
- NPI 1235234535
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; 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.