Individual provider Active NPI

Ka Yeon Kook

  • Medical Physician Assistant
  • Dallas, TX
National Provider Identifier
1205797347
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA19476 Issued in TX
Practice address
1018 N Zang Blvd Ste 110
Dallas, TX 75208-4123
Phone
(972) 266-8765
NPI assigned
Nov 19, 2025
Last updated
Nov 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA19476 TX Primary

Addresses

Primary practice location

1018 N Zang Blvd Ste 110
Dallas, TX 75208-4123

Mailing address

1018 N Zang Blvd Ste 110
Dallas, TX 75208-4123
Phone (972) 266-8765

Other names 1

  • Amelia Kayeon Kook Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260116002120 TX Practitioner - Physician Assistant 6002393311 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Duke University School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thyroid, Endocrinology and Diabetes, PAGroup PAC ID 6406908094, 6 clinicians

Practice addresses (Care Compare)

1018 N Zang Blvd
Suite 110
Dallas, TX 75208-4123
Phone (972) 266-8765

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA19476TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Thyroid, Endocrinology and Diabetes, PA CurrentSince Jan 5, 2026 Accepting new patients

Locations

1018 N Zang Blvd
Ste 110
Dallas, TX 75208
Phone (972) 266-8765

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1763510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1205797347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 N ZANG BLVD STE 110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084123",
            "telephone_number": "972-266-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 N ZANG BLVD STE 110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084123",
            "telephone_number": "972-266-8765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOOK",
        "first_name": "KA YEON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-19",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA19476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMELIA",
            "last_name": "KOOK",
            "middle_name": "KAYEON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.