Individual provider Active NPI

George J Ko, MD

  • Retina Specialist (Ophthalmology) Physician
  • Renton, WA
National Provider Identifier
1205890514
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
MD60021230 Issued in WA
Practice address
4300 Talbot Rd S
Suite 300
Renton, WA 98055-6238
Phone
(425) 228-6262
Fax
(425) 228-6260
NPI assigned
Apr 13, 2006
Last updated
Jul 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD60021230 WA
Retina Specialist (Ophthalmology) Physician 207WX0107X MD60021230 WA Primary

Addresses

Primary practice location

4300 Talbot Rd S
Suite 300
Renton, WA 98055-6238

Mailing address

4300 Talbot Rd S
Suite 300
Renton, WA 98055-6238
Phone (425) 228-6262

Other identifiers 1

IdentifierTypeStateIssuer
MD60021230OtherWAWA LICENSE NUMBER

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
I20080909000091 WA Practitioner - Ophthalmology 5092717181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Institute, PLLCGroup PAC ID 9436302122, 4 clinicians

Practice addresses (Care Compare)

1901 S Union Ave
Tacoma, WA 98405-1702
Phone (253) 650-1115

4300 Talbot Rd S
Suite 300
Renton, WA 98055-6238
Phone (425) 228-6262

918 S 348TH St
Suite B
Federal Way, WA 98003-7051
Phone (253) 518-1991

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Institute, PLLC Retina Specialist CurrentSince Jan 1, 2013 Accepting new patients
The Retina Group of Washington, PLLC Ophthalmology Past Accepting new patients
Retina & Macula Specialists PS Ophthalmology Past Accepting new patients
Washington National Eye Center Ophthalmology Past Accepting new patients
Retina Consultants of Seattle, PC Past Accepting new patients
Retina and Macula Specialists PS Ophthalmology Past Accepting new patients

Locations

33915 1st Way S
Ste B
Federal Way, WA 98003

918 S 348th St
Ste B
Federal Way, WA 98003
Phone (253) 518-1991

4300 Talbot Rd S
Ste 201
Renton, WA 98055
Phone (425) 228-6262

4300 Talbot Rd S
Ste 300
Renton, WA 98055
Phone (425) 228-6262

Interoperability endpoints

  • Direct secure messaging: gko@cepwa-riw.emadirect.md
  • Direct secure messaging: gko@riwa.intellechartdirect.net

Organizations & group practices 7

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": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1205890514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 TALBOT RD S",
            "address_2": "SUITE 300",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980556238",
            "telephone_number": "425-228-6262",
            "fax_number": "425-228-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 TALBOT RD S",
            "address_2": "SUITE 300",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980556238",
            "telephone_number": "425-228-6262",
            "fax_number": "425-228-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KO",
        "first_name": "GEORGE",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD60021230",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "WA",
            "license": "MD60021230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA LICENSE NUMBER",
            "identifier": "MD60021230",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

Verify at the official NPI Registry.