Gregory T Koo, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

33614 Issued in KY

Practice address

1401 Harrodsburg Rd Ste B165
Lexington, KY 40504-1726

Phone

(859) 288-2425

Fax

(859) 288-7510

NPI assigned

Mar 21, 2006

Last updated

Jul 15, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

General Practice

Education

University of Cincinnati College of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthfirst Bluegrass IncGroup PAC ID 5890961593, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gregory.koo.1@32600.direct.athenahealth.com

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.

• Healthfirst Bluegrass Inc

  • Federally Qualified Health Center (FQHC)
  • Lexington, KY
  • NPI 1114932514
  Medicare reassignment Care Compare group NPD
• Buc Independence LLC

  • Urgent Care Clinic/Center
  • Independence, KY
  • NPI 1417330150

  General Practice

  Medicare reassignment NPD
• Buc Newport LLC

  • Urgent Care Clinic/Center
  • Newport, KY
  • NPI 1679982250

  General Practice

  Medicare reassignment NPD
• Healthfirst Bluegrass Inc.

  • Federally Qualified Health Center (FQHC)
  • Lexington, KY
  • NPI 1447997044
  NPD
• Independence Urgent Care LLC

  • Urgent Care Clinic/Center
  • Independence, KY
  • NPI 1508000951
  NPD
• CG Medical Associates Inc

  • Urgent Care Clinic/Center
  • Cincinnati, OH
  • NPI 1982903951

  Family Medicine

  NPD
• Community First Health, LLC.

  dba Community First Express Care

  • Family Medicine Physician
  • Hebron, KY
  • NPI 1447795299
  NPD (past)

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1205895943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39597",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049151249",
            "telephone_number": "859-288-2425",
            "fax_number": "859-288-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 HARRODSBURG RD STE B165",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405041726",
            "telephone_number": "859-288-2425",
            "fax_number": "859-288-7510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "576 E Third St Ste 170",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405082251",
            "country_code": "US",
            "telephone_number": "859-288-2425",
            "fax_number": "859-288-7510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOO",
        "first_name": "GREGORY",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "33614",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "33614",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "KY",
            "license": "33614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64363146",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Nicole Kolos, DO
• Meagan Komondoreas, CPNP-AC
• Melissa Kondor
• Ashley Konen
• Venkata Rajesh Konjeti, M.D.
• Kool Smiles, PSC (Ruby Dental)
• Carrie Koontz, LCSW
• Jeremy Koontz, PT
• Kopczyk and Vieth LLP (Alumni Dental Center)
• Larry Raymond Kopczyk, D.M.D.

• General Practice Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• General Practice Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.