KEVIN L JU M.D. NPI 1205157443

NPI Information

  • NPI: 1205157443
  • Provider Name: KEVIN L JU, M.D.
  • Classification: Orthopaedic Surgery - 207XS0117X
  • Specialization: Orthopaedic Surgery of the Spine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3164 HORIZON RD
    SUITE 100
    ROCKWALL, TX
    ZIP 75032
  • Phone: (972) 772-8780

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NPI Details

Kevin L Ju, M.D. is an orthopaedic surgery of the spine orthopaedic surgery in Rockwall, TX with 16 years of experience. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. Kevin L Ju, M.D. NPI is 1205157443. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: HARVARD MEDICAL SCHOOL
Graduation Year:2010

The provider's business location address is:

3164 HORIZON RD
SUITE 100
ROCKWALL, TX
ZIP 75032-805
Phone: (972) 772-8780

The NPI 1205157443 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • Insertion of cage or mesh device to spine bone and disc space during spine fusion (HCPCS:22853)
  • Incision or removal of spine bone segment, each additional segment (HCPCS:22216)
  • Fusion of spine in lower back (HCPCS:22612)
  • Fusion of additional segment of spine (HCPCS:22614)
  • Placement of stabilizing device to front, 2-3 spine bone segments (HCPCS:22845)
  • Fusion of lower spine bone through abdomen with partial removal of disc (HCPCS:22558)
  • Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment (HCPCS:63048)
  • Incision or removal of lower spine bone segment (HCPCS:22214)
  • Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc (HCPCS:22552)
  • Placement of stabilizing device to back of 1 spine bone in neck (HCPCS:22840)
  • Placement of stabilizing device to back, 3-6 spine bone segments (HCPCS:22842)
  • Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc (HCPCS:22551)
  • Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment (HCPCS:63047)
  • Spinal fusion (HCPCS:NAN02)
  • Laminectomy or laminotomy (partial removal of spine bones) (HCPCS:NAN18)

The enumeration date for this NPI number is 6/22/2010 and was last updated on 8/4/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineQ8268TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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