Garrett Kungho Ni, MD is a medicare enrolled "Otolaryngology - Otolaryngology/facial Plastic Surgery" physician in Mount Carmel, Illinois. He graduated from medical school in 2019 and has 7 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Wabash General Hospital District and his current practice location is
1418 College Dr, Mount Carmel, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 262-2278.
Garrett Kungho Ni is licensed to practice in Illinois (license number 036.175863) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1477113116.
Physician's Profile
| Full Name | Garrett Kungho Ni |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 7 Years |
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| Location | 1418 College Dr, Mount Carmel, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Garrett Kungho Ni graduated from medical school in 2019
NPI Data:
- NPI Number: 1477113116
- Provider Enumeration Date: 06/14/2019
- Last Update Date: 02/06/2026
Medicare PECOS Information:
- PECOS PAC ID: 1355676412
- Enrollment ID: I20250916004864
Medical Identifiers
Medical identifiers for Garrett Kungho Ni such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1477113116 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Y00000X | Otolaryngology | MT217956 (Pennsylvania) | Secondary |
| 207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | 036.175863 (Illinois) | Primary |
| 207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | A196402 (California) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Wabash General Hospital District | 8022908185 | 76 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Garrett Kungho Ni is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Garrett Kungho Ni, MD 1418 College Dr, Mount Carmel, IL 62863-2638 Ph: (618) 262-2278 | Garrett Kungho Ni, MD 1418 College Dr, Mount Carmel, IL 62863-2638 Ph: (618) 262-2278 |
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