DR. ANDREW PAUL KONG MD
NPI 1285139162
Radiology - Neuroradiology in Saint Louis, MO

NPI Status: Active since March 24, 2018

Contact Information

510 S KINGSHIGHWAY BLVD
DEPT RADIOLOGY
SAINT LOUIS, MO
ZIP 63110
Phone: (314) 362-7200
Fax: (314) 747-4189

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  • Individual
  • Male
  • Years of Experience 8
  • Radiology
  • Neuroradiology
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About ANDREW KONG

This page provides the complete NPI Profile along with additional information for Andrew Kong, a provider established in Saint Louis, Missouri with a medical specialization in Radiology, focusing in neuroradiology and more than 8 years of experience. He graduated from University Of Tennessee, Hsc, College Of Medicine in 2018. The healthcare provider is registered in the NPI registry with number 1285139162 assigned on March 2018. The practitioner's primary taxonomy code is 2085N0700X with license number 2023010471 (MO). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1285139162
Provider Name
DR. ANDREW PAUL KONG MD
Gender
Male
Entity Type
Individual
Location Address
510 S KINGSHIGHWAY BLVD DEPT RADIOLOGY SAINT LOUIS, MO 63110
Location Phone
(314) 362-7200
Location Fax
(314) 747-4189
Mailing Address
PO BOX 60352 SAINT LOUIS, MO 63160
Mailing Phone
(314) 362-7200
Mailing Fax
(314) 747-4189
Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduation Year
2018
Is Sole Proprietor?
No
Enumeration Date
03-24-2018
Last Update Date
05-03-2024
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Location Map

Secondary Locations

  • One Hospital Dr
    Columbia, MO 65212
    (573) 884-7770

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Neuroradiology

Taxonomy Code
2085N0700X
Type
Allopathic & Osteopathic Physicians
License No.
2023010471
License State
MO
Taxonomy Description
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12085R0202XAllopathic & Osteopathic Physicians

Radiology
Diagnostic Radiology

2023010471 (MO)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Pathway 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Catastrophic Pathway (+ Incentives) - EPO
  • Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Heart Healthy Bronze Pathway 4900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Heart Healthy Silver Pathway 3100 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Silver Pathway 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Silver Pathway 7200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Andrew Kong is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Andrew Kong is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 5597015354

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20230621000551

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Andrew Kong is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
PHELPS COUNTY REGIONAL MEDICAL CENTER1000 W 10TH ST
ROLLA, MO 65401
(573) 458-8899Acute Care Hospitals
UNIVERSITY OF MISSOURI HEALTH CAREONE HOSPITAL DRIVE
COLUMBIA, MO 65212
(573) 882-4141Acute Care Hospitals
LAKE REGIONAL HEALTH SYSTEM54 HOSPITAL DRIVE
OSAGE BEACH, MO 65065
(573) 348-8000Acute Care Hospitals

Reviews for DR. ANDREW PAUL KONG MD

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1285139162, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
5
Unchanged
Pos 5
1
Doubled → 2
Pos 6
3
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
1
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 1 → 2 9 → 18 → 9 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 6 + 5 + 2 + 3 + 1 + 8 + 1 + 1 + 2 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1285139162.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Radiology (Diagnostic Radiology)
510 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63110
Radiology (Diagnostic Radiology)
510 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63110
Radiology (Diagnostic Radiology)
510 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63110
Radiology (Diagnostic Radiology)
510 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63110
Radiology (Diagnostic Radiology)
510 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63110
Radiology (Diagnostic Radiology)
510 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63110
Nurse Practitioner (Acute Care)
510 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63110
Radiology (Diagnostic Radiology)
510 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63110
Radiology (Diagnostic Radiology)
510 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63110
Radiology (Nuclear Radiology)
510 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63110
Radiology (Diagnostic Radiology)
510 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63110
Radiology (Neuroradiology)
510 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63110
Radiology (Diagnostic Radiology)
510 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63110
Radiology (Diagnostic Radiology)
510 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63110
Radiology (Diagnostic Radiology)
510 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63110
Radiology (Diagnostic Radiology)
510 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63110
General Acute Care Hospital
510 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63110
Radiology (Diagnostic Radiology)
510 S KINGSHIGHWAY BLVD, CAMPUS BOX 8131
SAINT LOUIS, MO 63110
General Acute Care Hospital
510 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63110
Radiology (Vascular & Interventional Radiology)
510 S KINGSHIGHWAY BLVD, CAMPUS BOX 8131, MALLINCKRODT INSTITUTE OF RADIOLOGY
SAINT LOUIS, MO 63110

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285139162, enumerated as an "individual" on March 24, 2018.

The provider is located at 510 S KINGSHIGHWAY BLVD DEPT RADIOLOGY SAINT LOUIS, MO 63110 and the phone number is (314) 362-7200.

Radiology with taxonomy code 2085N0700X and a focus in Neuroradiology.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to verify.

Andrew Kong is affiliated with: PHELPS COUNTY REGIONAL MEDICAL CENTER, UNIVERSITY OF MISSOURI HEALTH CARE and LAKE REGIONAL HEALTH SYSTEM.