Individual provider Active NPI

Fang Sarah Ko, MD

  • Ophthalmology Physician
  • Tallahassee, FL
National Provider Identifier
1205060290
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME125176 Issued in FL
Practice address
2020 Fleischmann Rd
Tallahassee, FL 32308-4599
Phone
(850) 878-6161
Fax
(850) 656-0200
NPI assigned
May 6, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME125176 FL Primary

Addresses

Primary practice location

2020 Fleischmann Rd
Tallahassee, FL 32308-4599

Mailing address

2020 Fleischmann Rd
Tallahassee, FL 32308-4599
Phone (850) 878-6161

Other identifiers 1

IdentifierTypeStateIssuer
018721300MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address fang.ko.p1@direct.eyeassociates.nextgenshare.com Direct Eye Associates of Tallahassee, P.A. DBA Eye Associates of North Florida

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20151207002063 FL Practitioner - Ophthalmology 4082863907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Johns Hopkins University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Associates of Tallahassee, P.a.Group PAC ID 7315900370, 10 clinicians

Practice addresses (Care Compare)

2020 Fleischmann Rd
Tallahassee, FL 32308-4599
Phone (850) 878-6161

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery173

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME125176FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Associates of Tallahassee, P.a. Dba Eye Associates of North Florida Ophthalmology CurrentSince Nov 1, 2015 Accepting new patients
Seven Hills Surgery Center, LLC Past Accepting new patients

Locations

23186 Blue Star Hwy
Quincy, FL 32351
Phone (850) 875-5977

2020 Fleischmann Rd
Tallahassee, FL 32308
Phone (850) 878-6161

2010 Fleischmann Rd
Tallahassee, FL 32308
Phone (850) 552-0608

Interoperability endpoints

  • Direct secure messaging: fang.ko.p2@direct.eyeassociates.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1205060290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 FLEISCHMANN RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084599",
            "telephone_number": "850-878-6161",
            "fax_number": "850-656-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 FLEISCHMANN RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084599",
            "telephone_number": "850-878-6161",
            "fax_number": "850-656-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KO",
        "first_name": "FANG",
        "middle_name": "SARAH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-06",
        "last_updated": "2022-07-21",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME125176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018721300",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fang.ko.p1@direct.eyeassociates.nextgenshare.com",
            "affiliation": "Y",
            "affiliationName": "Eye Associates of Tallahassee, P.A. DBA Eye Associates of North Florida",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2020 Fleischmann Rd",
            "city": "Tallahassee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "323084599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.