GARRETT KUNGHO NI MD
NPI 1477113116
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Mount Carmel, IL
About Garrett Kungho Ni Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GARRETT KUNGHO NI MD (NPI 1477113116) is an individual otolaryngology/facial plastic surgery provider in Mount Carmel, Illinois, licensed in Illinois (036.175863) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Wabash General Hospital 1, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
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
Garrett Kungho Ni Md 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Wabash General Hospital 1
Critical Access Hospitals · Mount Carmel, ILOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MOUNT CARMEL, IL 62863
MOUNT CARMEL, IL 62863
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 Garrett Ni's NPI number?
The NPI number for Garrett Ni is 1477113116. It was assigned to this individual provider in the NPPES registry on June 14, 2019.
Where is Garrett Ni located?
Garrett Ni practices at 1418 College Dr, Mount Carmel, IL 62863. The listed phone number is (618) 262-2278.
What is Garrett Ni's specialty?
The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.
Is Garrett Ni enrolled in Medicare?
Yes. Garrett Ni 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.
Is Garrett Ni affiliated with any hospitals?
According to CMS data, Garrett Ni is affiliated with Wabash General Hospital 1.
When was this NPI record last updated?
The NPPES record for Garrett Ni was last updated on February 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Garrett Kungho Ni, MD · NPI 1477113116
Otolaryngology/Facial Plastic Surgery physician in Mount Carmel, Illinois. Individual provider, active in the CMS NPPES registry since June 14, 2019.
## Identity
- **NPI:** 1477113116 (Entity type: Individual)
- **Enumerated:** June 14, 2019
- **Primary specialty:** Otolaryngology - Otolaryngology/Facial Plastic Surgery · taxonomy 207YX0905X
- **State license:** 036.175863 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1418 COLLEGE DR, Mount Carmel, IL 62863-2638
- **Phone:** (618) 262-2278
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** February 6, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1477113116) · Data from the CMS NPPES public registry.