JAMES KONG M.D.
NPI 1407823040
Internal Medicine - Interventional Cardiology in Cincinnati, OH

Q: What is James Kong's NPI number?

The NPI number for James Kong is 1407823040. It was assigned to this individual provider in the NPPES registry on March 2, 2006.

Q: What is James Kong's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Q: When was this NPI record last updated?

The NPPES record for James Kong was last updated on October 24, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 02, 2006PECOS EnrolledAccepts Medicare Assignment

81.25/100

CMS Quality Rating

2123 AUBURN AVE, CINCINNATI, OH 45219(513) 206-1060(513) 206-1062 Get Directions Write a Review

NPPES record last updated: October 24, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About James Kong M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMES KONG M.D. (NPI 1407823040) is an individual interventional cardiology provider in Cincinnati, Ohio, licensed in Ohio (35.086285) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Margaret Mary Community Hospital Inc, and is a graduate of Duke University School Of Medicine (1998).

NPPES Registry Identity

NPI1407823040

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameJAMES KONGCredential: M.D.

Location Address2123 AUBURN AVECincinnati, OH 45219-2906

Mailing Address237 William Howard Taft Rd, 2nd Floor, Cbo 2-3Cincinnati, OH 45219-2610 · (513) 206-1060 · Fax (513) 206-1062

Phone(513) 206-1060

Fax(513) 206-1062

Sole ProprietorNo

Medical School CMSDuke University School Of MedicineGraduated 1998

Enumeration DateMarch 2, 2006

Last NPPES UpdateOctober 24, 2020

NPPES CertifiedOctober 24, 2020

✔ NPI 1407823040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

License✔ Licensed in OH · 35.086285

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 35086285 (OH)

2123 AUBURN AVE, Cincinnati, OH 45219

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Other Identifiers 6

Other28010673200Workmans Comp

Other00000036445Anthem

Medicaid2581353OH

Medicaid64104912KY

Other7625646Aetna

Other2504611United

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James Kong M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143264416

PECOS Enrollment IDI20050616001207

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 17

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

476 services348 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

172 services165 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

133 services120 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

106 services106 patients

Ultrasound evaluation of heart blood vessel or graft with review by radiologist, initial vessel 92978

This procedure involves using ultrasound technology to examine the first vessel of your heart or graft. A radiologist will review the images. It's a non-invasive way to check the health of your heart's blood vessels.

53 services52 patients

Ultrasound evaluation of heart blood vessel during diagnosis or treatment, initial vessel 93571

This procedure involves using ultrasound technology to examine the first blood vessel of your heart. It helps identify any abnormalities or issues, providing crucial information for diagnosis or treatment. It's a safe, non-invasive process.

46 services46 patients

Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch 92928

This procedure involves placing a small, mesh tube (stent) in your coronary artery to keep it open. A balloon is used to expand the stent and artery, improving blood flow to your heart. It's typically done for a single artery or branch.

44 services38 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

43 services43 patients

Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist 93460

This procedure involves placing a tube into the heart chambers and coronary artery. It helps diagnose heart conditions. A radiologist reviews the images obtained. It's a standard, safe procedure performed by experienced medical professionals.

35 services35 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

33 services32 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

22 services22 patients

Insertion of tube in right heart chambers for measurement 93451

This procedure involves placing a small, flexible tube into the right side of your heart. It helps assess how your heart is functioning by measuring pressures within the heart chambers. It's a key tool in diagnosing certain heart conditions.

16 services16 patients

Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist 93459

This procedure involves placing a tube into your left lower heart chamber, coronary artery, and bypass graft. It's done for diagnostic purposes and is carefully reviewed by a radiologist. This helps determine the health of your heart and arteries, aiding in future treatment plans.

15 services15 patients

Ultrasound evaluation of heart blood vessel or graft with review by radiologist, each additional vessel 92979

This procedure involves using ultrasound technology to evaluate the condition of your heart's blood vessels or graft. A radiologist reviews the images to check for any abnormalities. If additional vessels need to be examined, the process is repeated.

14 services13 patients

Insertion of tube in coronary artery for diagnosis with review by radiologist 93454

This procedure involves placing a small tube into your coronary artery. It helps to identify any blockages or issues within the artery. A radiologist, a doctor specialized in medical imaging, will review the results to ensure accurate diagnosis.

14 services14 patients

Ultrasound evaluation of heart blood vessel during diagnosis or treatment, each additional vessel 93572

This procedure involves using ultrasound to examine additional heart blood vessels during diagnosis or treatment. It helps doctors visualize the structure and function of your heart, ensuring precise evaluation and care.

14 services13 patients

Insertion of tube in right and left heart chambers, coronary artery, and bypass graft for diagnosis with review by radiologist 93461

This procedure involves placing a tube into your heart's chambers and coronary artery to help diagnose heart conditions. A radiologist reviews images taken during the procedure to identify any issues. It's a critical step towards effective treatment.

13 services13 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Margaret Mary Community Hospital Inc

Critical Access Hospitals · Batesville, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number151329

Location321 Mitchell AveBatesville, IN 47006 · Franklin County

Emergency services

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number180035

Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County

Emergency services Birthing friendly

Christ Hospital

Acute Care Hospitals · Cincinnati, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360163

Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County

Emergency services Birthing friendly

Clinton Memorial Hospital

Acute Care Hospitals · Wilmington, OH

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number360175

Location610 West Main StreetWilmington, OH 45177 · Clinton County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45219 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.25/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

79.93

Promoting Interoperability

100

Improvement Activities

Cost

57.57

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KIRANMAYEE LANKA M.D., M.P.H

Internal Medicine (Critical Care Medicine)

2123 AUBURN AVE, SUITE 401
CINCINNATI, OH 45219

Hamilton County (513) 241-5489

NOEMI CLEOFAS RICO-CEPPI MD

Family Medicine

2123 AUBURN AVE
CINCINNATI, OH 45219

Hamilton County (513) 585-3238

EUGENE CHUNG M.D.

Internal Medicine (Advanced Heart Failure and Transplant Cardiology)

2123 AUBURN AVE, SU. 137
CINCINNATI, OH 45219

Hamilton County (513) 206-1180

DR. REID ARTHUR HARTMANN M.D.

Family Medicine

2123 AUBURN AVE, SUITE 235
CINCINNATI, OH 45219

Hamilton County (513) 585-3238

LABORATORY CORPORATION OF AMERICA HOLDINGS

Clinical Medical Laboratory

2123 AUBURN AVE, SUITE 320
CINCINNATI, OH 45219

Hamilton County (513) 381-5227

JILL GAST APRN.CNP

Nurse Practitioner (Family)

2123 AUBURN AVE, SUITE 320
CINCINNATI, OH 45219

Hamilton County (513) 241-4223

YOLANDA DANIELA FARHEY M.D.

Internal Medicine (Rheumatology)

2123 AUBURN AVE, STE 630
CINCINNATI, OH 45219

Hamilton County (513) 585-1970

BRIAN REVIS MD

Internal Medicine (Nephrology)

2123 AUBURN AVE, STE 404
CINCINNATI, OH 45219

Hamilton County (513) 241-5630

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Kong's NPI number?

The NPI number for James Kong is 1407823040. It was assigned to this individual provider in the NPPES registry on March 2, 2006.

Where is James Kong located?

James Kong practices at 2123 Auburn Ave, Cincinnati, OH 45219. The listed phone number is (513) 206-1060.

What is James Kong's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is James Kong enrolled in Medicare?

Yes. James Kong is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does James Kong accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 1 other insurer list James Kong as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is James Kong affiliated with any hospitals?

According to CMS data, James Kong is affiliated with Margaret Mary Community Hospital Inc, St Elizabeth Edgewood, Christ Hospital and Clinton Memorial Hospital.

When was this NPI record last updated?

The NPPES record for James Kong was last updated on October 24, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.