Individual provider Active NPI

Dicken Shiu-Chung Ko, MD

  • Urology Physician
  • Providence, RI
National Provider Identifier
1083604219
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
79821 Issued in MA
Practice address
195 Collyer St Ste 201
Providence, RI 02904-1869
Phone
(401) 272-7799
Fax
(401) 453-9078
NPI assigned
Oct 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Transplant Surgery Physician 204F00000X MD16976 RI
Urology Physician 208800000X 79821 MA Primary

Addresses

Primary practice location

195 Collyer St Ste 201
Providence, RI 02904-1869

Mailing address

15 La Salle SQ
Providence, RI 02903-1814
Phone (401) 444-6779

Other practice location 1

2 Pond Park Rd
Hingham, MA 02043-4347
Phone (781) 624-8352

Other practice location 2

55 Fogg Rd
South Weymouth, MA 02190-2432
Phone (781) 624-8000

Other practice location 3

780 Main St Ste 2C
Weymouth, MA 02190-1618
Phone (781) 331-4600

Other practice location 4

2 Dudley St Ste 175
Providence, RI 02905-3246
Phone (401) 421-0710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 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
I20080415000617 MA Practitioner - UrologyPractitioner - Other (Physician) 1254419302 Reassigns benefits to 5 organizations
I20200414003277 RI Practitioner - Urology 1254419302 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifespan Physician Group IncGroup PAC ID 2567455082, 1,151 clinicians
Brown Urology, Inc.Group PAC ID 7810254513, 32 clinicians
South Shore Medical Center, Inc.Group PAC ID 3678487444, 174 clinicians

Practice addresses (Care Compare)

164 Summit Ave
Providence, RI 02906-2853

185 A High Service Ave
North Providence, RI 02904-5114
Phone (401) 354-6050

185 High Service Ave
North Providence, RI 02904-5114
Phone (401) 354-6050

195 Collyer St
Providence, RI 02904-1869

55 Fogg Rd
Weymouth, MA 02190-2432
Phone (781) 624-8000

593 Eddy St
Providence, RI 02903-4923

593 Eddy St Apc
Suite 6
Providence, RI 02903-4923
Phone (401) 793-9172

593 Eddy St George BLDG 1St Floor
Providence, RI 02903-4923
Phone (401) 793-9166

827 N Main St
Suite 4
Providence, RI 02904-5751
Phone (401) 272-7799

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rhode Island Hospital Transplant Surgery CurrentSince May 13, 2022 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Lifespan Physician Group Inc CurrentSince Jan 1, 2026 Accepting new patients
University Surgical Associates, Inc. Current Accepting new patients
South Shore Medical Center, Inc. CurrentSince Apr 6, 2021 Accepting new patients
General Hospital Corp Current Accepting new patients
Steward Medical Group, Inc CurrentSince Aug 23, 2017 Accepting new patients
Dana-Farber Cancer Institute, Inc. CurrentSince Oct 11, 2018 Accepting new patients
Brown Urology, Inc. CurrentSince Apr 1, 2020 Accepting new patients
Coastal Medical Associates CurrentSince May 25, 2024 Accepting new patients
Dana-Farber Cancer Institute, Inc. CurrentSince Oct 11, 2018 Accepting new patients
Rhode Island Hospital CurrentSince May 13, 2022 Accepting new patients
Steward Medical Group, Inc CurrentSince Aug 23, 2017 Accepting new patients
Brown Urology, Inc. Urology CurrentSince Apr 1, 2020 Accepting new patients
Brown Urology, Inc. Urology Past Accepting new patients

Locations (25 of 27)

55 Fruit St
Boston, MA 02114

450 Brookline Ave
Boston, MA 02215
Phone (508) 478-2061

75 Francis St
Boston, MA 02115

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

55 Fruit St
#655
Boston, MA 02114
Phone (617) 724-3730

77 Warren St
Fl 1
Brighton, MA 02135
Phone (617) 562-5200

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

2 Pond Park Rd
Hingham, MA 02043
Phone (781) 337-5555

5 Tarkiln Rd
Kingston, MA 02364
Phone (781) 585-2200

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

70 East St
Methuen, MA 01844
Phone (978) 682-1906

20 Prospect St
Milford, MA 01757
Phone (508) 478-2061

9 Galen St
Watertown, MA 02472
Phone (617) 562-5413

780 Main St
Ste 2C
Weymouth, MA 02190
Phone (781) 331-4600

55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293

450 Veterans Memorial Pkwy
Unit 14
East Providence, RI 02914
Phone (401) 435-6600

450 Veterans Memorial Pkwy
Ste 14
East Providence, RI 02914
Phone (401) 435-8486

23 Powel Ave
Ste 1
Newport, RI 02840
Phone (401) 228-0631

185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050

2 Dudley St
Ste 175
Providence, RI 02905
Phone (401) 421-0710

15 La Salle Sq
Providence, RI 02903

195 Collyer St
Ste 104
Providence, RI 02904
Phone (401) 276-2026

827 N Main St
Ste 4
Providence, RI 02904
Phone (401) 276-2060

195 Collyer St
Ste 201
Providence, RI 02904
Phone (401) 421-0710

593 Eddy St
#921
Providence, RI 02903
Phone (401) 444-3250

Interoperability endpoints

  • Direct secure messaging: ko.dicken.mgh@direct.partners.masshiway.net

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 8

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": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1083604219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 LA SALLE SQ",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029031814",
            "telephone_number": "401-444-6779",
            "fax_number": "401-444-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 COLLYER ST STE 201",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029041869",
            "telephone_number": "401-272-7799",
            "fax_number": "401-453-9078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Pond Park Rd",
            "address_purpose": "LOCATION",
            "city": "Hingham",
            "state": "MA",
            "postal_code": "020434347",
            "country_code": "US",
            "telephone_number": "781-624-8352",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Fogg Rd",
            "address_purpose": "LOCATION",
            "city": "South Weymouth",
            "state": "MA",
            "postal_code": "021902432",
            "country_code": "US",
            "telephone_number": "781-624-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "780 Main St Ste 2C",
            "address_purpose": "LOCATION",
            "city": "Weymouth",
            "state": "MA",
            "postal_code": "021901618",
            "country_code": "US",
            "telephone_number": "781-331-4600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Dudley St Ste 175",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029053246",
            "country_code": "US",
            "telephone_number": "401-421-0710",
            "fax_number": "401-421-0796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KO",
        "first_name": "DICKEN",
        "middle_name": "SHIU-CHUNG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "RI",
            "license": "MD16976",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MA",
            "license": "79821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.