Edalyn Mendoza Ko, DPM

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

DP00360 Issued in OR

Practice address

2445 Beverly St Ste B
Springfield, OR 97477-1910

Phone

(541) 780-6654

NPI assigned

Aug 20, 2006

Last updated

Jul 8, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

California School of Podiatric Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pacific Sports and Interventional Spine LLCGroup PAC ID 3072867316, 15 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dredalynko@afaasool-or.direct.office.nextgen.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.

• Pacific Sports and Interventional Spine, LLC

  dba Pacific Sports and Spine

  • Interventional Pain Medicine Physician
  • Springfield, OR
  • NPI 1881186336
  Medicare reassignment Care Compare group NPD
• Advanced Foot & Ankle Specialists of Oregon LLC

  dba Cascadia Foot & Ankle Specialists

  • Foot & Ankle Surgery Podiatrist
  • Eugene, OR
  • NPI 1497232474
  Medicare reassignment NPD
• Pacific Sports and Interventional Spine, LLC-P

  • Interventional Pain Medicine Physician
  • Sutherlin, OR
  • NPI 1215898564
  NPD

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1265547277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 BEVERLY ST STE B",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974771910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 BEVERLY ST STE B",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974771910",
            "telephone_number": "541-780-6654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KO",
        "first_name": "EDALYN",
        "middle_name": "MENDOZA",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "OR",
            "license": "DP00360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Knoebel, LMT
• Carol Anne Knoles
• Joshua Ryan Knotts
• Stacy Knowles, LPN
• David Knowlton, MD
• Megan Koeneman
• Paul S. Koh, MD
• Ivy Kohler
• Andrew J Kokkino, MD
• Christine F Kollmorgen, M.D.

• Foot Surgery Podiatrist in Springfield, OR
• Providers in Springfield, OR by specialty
• Foot Surgery Podiatrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; 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.