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MICKEY JUSTIN MYLES KUO M.D.
NPI 1982090692
Medical Genetics - Clinical Genetics (M.D.) in Bethesda, MD

Active since April 09, 2015PECOS Enrolled
BG 10 RM 13N268, 10 CENTER DR, BETHESDA, MD 20814(301) 594-7487 Get Directions Write a Review

NPPES record last updated: August 5, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 5, 2019, Jan 11, 2016 (2 updates tracked since 2016).

About Mickey Justin Myles Kuo M.d. NPPES

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

MICKEY JUSTIN MYLES KUO M.D. (NPI 1982090692) is an individual clinical genetics (m.d.) provider in Bethesda, Maryland, licensed in Maryland (D0087738) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in Maywood.

NPPES Registry Identity

NPI1982090692
Entity TypeIndividualMale
Primary Taxonomy207SG0201X
Provider Legal NameMICKEY JUSTIN MYLES KUOCredential: M.D.
Location AddressBG 10 RM 13N268, 10 CENTER DRBethesda, MD 20814
Mailing AddressBg 10 Rm 13n268, 10 Center DrBethesda, MD 20814 · (301) 594-7487
Phone(301) 594-7487
Sole ProprietorNo
Enumeration DateApril 9, 2015
Last NPPES UpdateAugust 5, 20192 updates tracked since enumeration
✔ NPI 1982090692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMedical Genetics · Clinical Genetics (M.D.)Allopathic & Osteopathic Physicians
Taxonomy Code207SG0201X
License✔ Licensed in MD · D0087738
Definition
A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
Also ListedInternal MedicineTaxonomy 207R00000X · License 125067676 (IL)
BG 10 RM 13N268, Bethesda, MD 20814
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Secondary Practice Location 1

Location 12160 S. First Avenue, Loyola Outpatient Center, 4300Maywood, IL 60153 · Phone (708) 216-5368 · Fax (708) 216-3375

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mickey Justin Myles Kuo M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Mickey Kuo's NPI number?

The NPI number for Mickey Kuo is 1982090692. It was assigned to this individual provider in the NPPES registry on April 9, 2015.

Where is Mickey Kuo located?

Mickey Kuo practices at Bg 10 Rm 13n268 10 Center Dr, Bethesda, MD 20814. The listed phone number is (301) 594-7487.

What is Mickey Kuo's specialty?

The primary specialty registered for this NPI is Medical Genetics, specializing in Clinical Genetics (M.D.), with taxonomy code 207SG0201X.

Is Mickey Kuo enrolled in Medicare?

Yes. Mickey Kuo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mickey Kuo was last updated on August 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.