Active NPI
Heidi Chwan Ko, D.O.
- Hematology & Oncology Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- S9919
- Practice address
- 7979 Wurzbach Rd
San Antonio, TX 78229-4427 - Phone
- (210) 450-1143
- Fax
- (210) 450-0407
- NPI assigned
- Mar 27, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | S9919 | TX | |
| Hematology & Oncology Physician | 207RH0003X | S9919 | TX | Primary |
Addresses
Primary practice location
7979 Wurzbach Rd
San Antonio, TX 78229-4427
Mailing address
7979 Wurzbach Rd
San Antonio, TX 78229-4427
Phone (210) 450-1143
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 426972203 | Medicaid | TX | |
| 426972202 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S9919 | TX | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Texas Health Science Center at San Antonio | Internal Medicine | Current | Accepting new patients |
| Kelsey-Seybold Medical Group, PLLC | Internal Medicine | Current | Accepting new patients |
| The University of Texas Health Science Center at San Antonio | Current | Accepting new patients |
Locations
15655 Cypress Wood Medical Dr
Ste 100
Houston, TX 77014
Phone (713) 442-1700
2727 W Holcombe Blvd
Houston, TX 77025
Phone (713) 790-9412
7010 Highway 6
Missouri City, TX 77459
Phone (713) 442-4200
11511 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 442-4997
2515 Business Center Dr
Pearland, TX 77584
Phone (713) 442-7200
7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700
7979 Wurzbach Rd
San Antonio, TX 78229
Phone (210) 450-1000
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Houston, TX
- NPI 1013915255
Internal Medicine
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1326829904
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1720051717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644278400000",
"number": "1083008965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7979 WURZBACH RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782294427",
"telephone_number": "210-450-1143",
"fax_number": "210-450-0407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7979 WURZBACH RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782294427",
"telephone_number": "210-450-1143",
"fax_number": "210-450-0407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KO",
"first_name": "HEIDI",
"middle_name": "CHWAN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-27",
"last_updated": "2022-02-08",
"certification_date": "2022-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "S9919",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "TX",
"license": "S9919",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "426972203",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "426972202",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.