Individual provider

Ken Yamaguchi, MD

Orthopaedic Surgery Physician Medicare enrolled

Ken Yamaguchi, MD is an Orthopaedic Surgery Physician in Chicago, IL, registered under NPI 1376561001.

Getting there

The practice address on file is 259 E ERIE ST FL 13, Chicago, IL 60611. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

259 E ERIE ST FL 13, Chicago, IL 60611 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
108927 MO Orthopaedic Surgery Physician
036164044 IL Orthopaedic Surgery Physician primary

Licences are recorded in 2 states: MO, IL. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Orthopedic Surgery
PAC ID
4284779190
Enrollment ID
I20230515000281

Medicare enrolment is recorded as approved under the provider type Practitioner - Orthopedic Surgery. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Illinois and Missouri. The practice address on file is in Chicago, IL, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

IL Illinois practice address
Licence
036164044
Specialty
Orthopaedic Surgery Physician
Verify with the IL board →
MO Missouri
Licence
108927
Specialty
Orthopaedic Surgery Physician
Verify with the MO board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Orthopaedic Surgery covers

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. NUCC Health Care Provider Taxonomy, code 207X00000X
Allopathic & Osteopathic Physicians Orthopaedic Surgery

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207X00000X Orthopaedic Surgery Physician 108927 MO
207X00000X Orthopaedic Surgery Physician 036164044 IL primary

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1376561001 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJul 18, 2006
Last updatedAug 4, 2023
StatusActive
Sole proprietorNo
GenderMale
CredentialMD
Practice address 259 E ERIE ST FL 13
Chicago, IL 60611
(312) 695-6800
Fax (312) 926-6600
Other identifiers 208031807 · Medicaid (MO)
The last update on file is Aug 4, 2023. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1376561001 passes the NPI check digit test The final digit 1 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 3 7 6 5 6 1 0 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 3 5 6 1 6 2 0 0

Sum = 49 · next multiple of 10 = 50 · check digit = 1 · actual last digit = 1

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1376561001?
NPI 1376561001 is the National Provider Identifier assigned to Ken Yamaguchi, MD in Chicago, IL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Orthopaedic Surgery Physician cover?
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital…
How do I contact Ken Yamaguchi, MD?
The phone number on file with NPPES is (312) 695-6800, last updated Aug 4, 2023. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Ken Yamaguchi, MD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1376561001 a valid number?
Yes. 1376561001 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.