Individual provider Active NPI

Di Khoo, M.D.

  • Military Health Care Provider
  • Jacksonville, FL
National Provider Identifier
1265753131
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military Health Care ProviderTaxonomy code 171000000X
Practice address
BLDG H 2005 Knight Lane
Attn: Medical Staff Services. Navy Medicine Support Com
Jacksonville, FL 32212-0140
Phone
(619) 532-6400
NPI assigned
Jun 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military Health Care Provider 171000000X Primary

Addresses

Primary practice location

BLDG H 2005 Knight Lane
Attn: Medical Staff Services. Navy Medicine Support Com
Jacksonville, FL 32212-0140

Mailing address

5283 Old Brownsville Rd
Corpus Christi, TX 78405-3908

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210204000483 TX Practitioner - Internal Medicine 9739443151 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lonestar Hospital Medicine Associates, PA CurrentSince Jan 1, 2021 Accepting new patients

Locations

999 Raintree Cir
Allen, TX 75013
Phone (972) 390-8088

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

2735 Airline Rd
Corpus Christi, TX 78414
Phone (361) 992-0816

3500 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-5950

5400 Clearfork Main St
Fort Worth, TX 76109
Phone (817) 433-7000

413 Garland Dr
Lake Jackson, TX 77566
Phone (979) 297-3266

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

2620 Communications Pkwy
Plano, TX 75093
Phone (214) 501-4672

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

424 Tarpey Rd
#C
Texas City, TX 77591
Phone (409) 938-8431

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1265753131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5283 OLD BROWNSVILLE RD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784053908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLDG H 2005 KNIGHT LANE",
            "address_2": "ATTN: MEDICAL STAFF SERVICES. NAVY MEDICINE SUPPORT COM",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322120140",
            "telephone_number": "619-532-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOO",
        "first_name": "DI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-15",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.