Active NPI
Dicken Shiu-Chung Ko, MD
- Urology Physician
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 79821
- 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
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 |
|---|---|---|---|---|
| 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, RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Amedisys Home Health Care
- The Miriam Hospital
- Rhode Island Hospital
- Massachusetts General Hospital
- St Vincent Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rhode Island Hospital | Transplant Surgery | Current | Accepting new patients |
| Lifespan Physician Group, Inc. | Current | Accepting new patients | |
| Lifespan Physician Group Inc | Current | Accepting new patients | |
| University Surgical Associates, Inc. | Current | Accepting new patients | |
| South Shore Medical Center, Inc. | Current | Accepting new patients | |
| General Hospital Corp | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Dana-Farber Cancer Institute, Inc. | Current | Accepting new patients | |
| Brown Urology, Inc. | Current | Accepting new patients | |
| Coastal Medical Associates | Current | Accepting new patients | |
| Dana-Farber Cancer Institute, Inc. | Current | Accepting new patients | |
| Rhode Island Hospital | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Brown Urology, Inc. | Urology | Current | 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
- 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.
-
- Urology Physician
- Providence, RI
- NPI 1467973099
-
- Internal Medicine Physician
- Norwell, MA
- NPI 1669411856
-
- General Practice Physician
- Providence, RI
- NPI 1407116643
-
- Transplant Surgery Physician
- Providence, RI
- NPI 1174605208
-
- Anesthesiology Physician
- Weymouth, MA
- NPI 1932175684
-
- General Acute Care Hospital
- Boston, MA
- NPI 1851333686
-
- Specialist
- Watertown, MA
- NPI 1629398219
-
- Radiation Oncology Physician
- Providence, RI
- NPI 1184303984
-
- Dermatology Physician
- Providence, RI
- NPI 1578424602
-
- Emergency Medicine Physician
- Providence, RI
- NPI 1568325678
-
- General Acute Care Hospital
- Providence, RI
- NPI 1972768174
-
- Surgery Physician
- Providence, RI
- NPI 1376589895
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Providence, RI
- NPI 1588659528
-
- General Acute Care Hospital
- Providence, RI
- NPI 1972768174
-
- Home Health Agency
- Warwick, RI
- NPI 1770537854
-
- General Acute Care Hospital
- Providence, RI
- NPI 1487649430
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- General Acute Care Hospital
- Worcester, MA
- NPI 1538131214
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.