Individual provider Active NPI

Sukjin Koh, MD

  • Vascular & Interventional Radiology Physician
  • Boston, MA
National Provider Identifier
1053745455
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
285261 Issued in MA
Practice address
75 Francis St
Boston, MA 02115-6110
Phone
(857) 307-0866
NPI assigned
Aug 21, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 285261 MA
Vascular & Interventional Radiology Physician 2085R0204X 285261 MA Primary
Diagnostic Radiology Physician 2085R0202X 083693 CT

Addresses

Primary practice location

75 Francis St
Boston, MA 02115-6110

Mailing address

75 Francis St
Boston, MA 02115-6110

Other practice location 1

263 Farmington Ave
Farmington, CT 06030-2803
Phone (860) 679-2784

Other names 1

  • Jin Koh Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240611003560 MA Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 9436406568 Reassigns benefits to 3 organizations
I20260212001719 CT Practitioner - Diagnostic Radiology 9436406568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Oregon Health Sciences University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Alliance PCGroup PAC ID 1850280470, 449 clinicians
Umass Memorial Radiology Phys ServGroup PAC ID 6800868779, 40 clinicians
University of Connecticut Health CenterGroup PAC ID 3678472016, 624 clinicians
Umass Memorial Medical Group IncGroup PAC ID 4284539891, 2,494 clinicians

Practice addresses (Care Compare)

Mattapoisett, MA 02739
Phone (615) 312-0600

14 Prospect St
Milford, MA 01757-3003
Phone (508) 847-1190

263 Farmington Ave
Farmington, CT 06030-0001
Phone (860) 679-3692

55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-1000

Hospital & facility affiliations

  • Milford Regional Medical Center Hospital, Milford, MA, CCN 220090
  • Dana-Farber Cancer Institute Hospital, Boston, MA, CCN 220162
  • Umass Memorial Medical Center/University Campus Hospital, Worcester, MA, CCN 220163
  • Baptist Health Richmond Hospital, Richmond, KY, CCN 180049
  • Clark Regional Medical Center Hospital, Winchester, KY, CCN 180092

Merit-based Incentive Payment System (MIPS)

Final score
85.28 of 100Reported as group
Quality
67.67
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
083693CTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Connecticut Health Center Diagnostic Radiology CurrentSince Jan 5, 2026 Accepting new patients
Uconn Health Imaging, LLC Diagnostic Radiology CurrentSince Apr 1, 2026 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Oct 17, 2025 Accepting new patients
Shields Health at Umass Memorial Health - Milford Regional Medical CurrentSince Nov 11, 2025 Accepting new patients
Umass Memorial Medical Group Inc CurrentSince Oct 17, 2025 Accepting new patients
University of Connecticut Health Center CurrentSince Jan 5, 2026 Accepting new patients
Umass Memorial Radiology Phys Serv Diagnostic Radiology CurrentSince Dec 1, 2024 Accepting new patients
Shields Health at Umass Memorial Health - Milford Regional Medical CurrentSince Nov 10, 2025 Accepting new patients
University of Connecticut Health Center Past Accepting new patients

Locations

263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477

75 Francis St
Boston, MA 02115

14 Prospect St
Milford, MA 01757
Phone (508) 422-2343

340 Thompson Rd
Webster, MA 01570
Phone (508) 943-2600

10 Little Brook Rd
West Wareham, MA 02576

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1053745455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 FRANCIS ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021156110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 FRANCIS ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021156110",
            "telephone_number": "857-307-0866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "263 Farmington Ave",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "CT",
            "postal_code": "060302803",
            "country_code": "US",
            "telephone_number": "860-679-2784",
            "fax_number": "860-679-4126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOH",
        "first_name": "SUKJIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-21",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "285261",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MA",
            "license": "285261",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "083693",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JIN",
            "last_name": "KOH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.