Individual provider Active NPI

Ki S Cho, M.D.

  • Internal Medicine Physician
  • Santa Clara, CA
National Provider Identifier
1225122880
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A051445 Issued in CA
Practice address
2344 El Camino Real
105
Santa Clara, CA 95050
Phone
(408) 249-1212
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A051445 CA Primary

Addresses

Primary practice location

2344 El Camino Real
105
Santa Clara, CA 95050

Mailing address

2344 El Camino Real
105
Santa Clara, CA 95050
Phone (408) 249-1212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20040503001168 CA Practitioner - Internal Medicine 7719975473 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2344 El Camino Real
Suite 105
Santa Clara, CA 95050-4072
Phone (408) 249-1212

3130 W Olympic Blvd
Suite 230
Los Angeles, CA 90006-2485
Phone (323) 402-0414

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A051445CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern California Physicians Group, Inc. Current Accepting new patients
Central Medical Center Inc Internal Medicine CurrentSince Jul 1, 2008 Accepting new patients
Central Endoscopy Center PastSince May 1, 2004 Accepting new patients

Locations

2344 El Camino Real
Ste 105
Santa Clara, CA 95050
Phone (408) 249-1212

2344 El Camino Real
Ste A
Santa Clara, CA 95050
Phone (408) 249-1212

2344 El Camino Real
Ste 10
Santa Clara, CA 95050
Phone (408) 249-1212

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225122880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2344 EL CAMINO REAL",
            "address_2": "105",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "95050",
            "telephone_number": "408-249-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2344 EL CAMINO REAL",
            "address_2": "105",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "95050",
            "telephone_number": "408-249-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHO",
        "first_name": "KI",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A051445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

Verify at the official NPI Registry.