Lauren Ko, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD26766 Issued in ME

Practice address

50 Sewall St
Portland, ME 04102-2691

Phone

(207) 775-3526

Fax

(207) 775-5658

NPI assigned

Mar 26, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, ME2 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

Specialty

Dermatology

Education

Harvard Medical School, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology Associates, LLCGroup PAC ID 4587698279, 21 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lauren.ko@dermassoc.eclinicaldirectplus.com

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.

• Dermatology Associates, LLC

  • Dermatology Physician
  • Portland, ME
  • NPI 1780635342

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Brigham & Womens Physicians Organization Inc

  • Internal Medicine Physician
  • Boston, MA
  • NPI 1033535497

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1154826824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 SEWALL ST STE 302",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022691",
            "telephone_number": "207-775-3526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 SEWALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022691",
            "telephone_number": "207-775-3526",
            "fax_number": "207-775-5658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KO",
        "first_name": "LAUREN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-26",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "ME",
            "license": "MD26766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Knopp, NP-C
• Anna Knorr
• Sadie Jennings Knott, PMHNP
• Frank Alexander Knowles, LCSW
• Harry Knox III, ATC
• Gabrielle Alyson Kobacker, FNP-C
• Catherine M Kobell, LCSW
• Anne L Koch, LCPC
• Cynthia Xiomara Koch
• Leah Koch

• Dermatology Physician in Portland, ME
• Providers in Portland, ME by specialty
• Dermatology Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.

Verify at the official NPI Registry.