Individual provider Active NPI

Steven Koh, MD

  • Family Medicine Physician
  • Edmonds, WA
National Provider Identifier
1114114535
Registry record updated Aug 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD60095389 Issued in WA
Practice address
21600 Highway 99 Ste 280
Edmonds, WA 98026-8022
Phone
(360) 901-6355
NPI assigned
Sep 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD60095389 WA Primary

Addresses

Primary practice location

21600 Highway 99 Ste 280
Edmonds, WA 98026-8022

Mailing address

21600 Highway 99 Ste 280
Edmonds, WA 98026-8022
Phone (425) 582-7753

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090915000732 WA Practitioner - Family PracticePractitioner - Chiropractic 0648326702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Edmonds Medical Clinic IncGroup PAC ID 4789011867, 2 clinicians

Practice addresses (Care Compare)

21600 Hwy 99
Suite 280
Edmonds, WA 98026-8022
Phone (425) 582-7753

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Edmonds Medical Clinic Inc Chiropractor CurrentSince Feb 1, 2020 Accepting new patients

Locations

21600 Highway 99
Ste 280
Edmonds, WA 98026
Phone (206) 774-2616

Interoperability endpoints

  • Direct secure messaging: skoh489719@direct.multicare.org

Organizations & group practices 1

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 2

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": "1191110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596240000000",
    "number": "1114114535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21600 HIGHWAY 99 STE 280",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980268022",
            "telephone_number": "425-582-7753",
            "fax_number": "425-740-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21600 HIGHWAY 99 STE 280",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980268022",
            "telephone_number": "360-901-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOH",
        "first_name": "STEVEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-30",
        "last_updated": "2020-08-01",
        "certification_date": "2020-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60095389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

Verify at the official NPI Registry.