Active NPI
Eun Kyung Koh
- Endocrinology, Diabetes & Metabolism Physician
- Boston, MA
National Provider Identifier
1306074968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- ME170392
- Practice address
- 56 Broad St Ste 14281
Boston, MA 02109-4301 - Phone
- (888) 404-4813
- Fax
- (888) 675-4061
- NPI assigned
- Jun 22, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | MD-53789 | IA | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 2024037013 | MO | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 75162 | AZ | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | ME170392 | FL | Primary |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | MD60448667 | WA | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | C1-0027516 | DE | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 35C.001905 | OH | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | MD28759 | ME | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 34198 | MS | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 224368 | AK | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 344073 | LA | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 042.0018132 | VT | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | MD-24439-0 | HI | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 01095909A | IN | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 036.173869 | IL |
Addresses
Primary practice location
56 Broad St Ste 14281
Boston, MA 02109-4301
Mailing address
56 Broad St Ste 14281
Boston, MA 02109-4301
Phone (888) 404-4813
Other practice location 1
3 Chase Ave
Augusta, ME 04330-4525
Phone (888) 404-4813
Other practice location 2
95B Main Street
Jeffersonville, VT 05464
Phone (888) 404-4813
Other practice location 3
4400 Easton Cmns Ste 125
Columbus, OH 43219-6223
Phone (888) 404-4813
Other practice location 4
120 S Central Ave
Clayton, MO 63105-1705
Phone (888) 404-4813
Other practice location 5
711 Capitol Way S Ste 204
Olympia, WA 98501-1267
Phone (888) 404-4813
Other practice location 6
3800 N Central Ave
Phoenix, AZ 85012-1992
Phone (888) 404-4813
Other practice location 7
7700 E Arapahoe Rd Ste 220
Centennial, CO 80112-1268
Phone (888) 404-4813
Other practice location 8
155 Federal St Ste 700
Boston, MA 02110-1727
Phone (888) 404-4813
Other practice location 9
4400 Easton Cmns Ste 125
Columbus, OH 43219-6223
Phone (888) 404-4813
Other practice location 10
40600 Ann Arbor Rd E Ste 201
Plymouth, MI 48170-4675
Phone (888) 404-4813
Other practice location 11
3867 Plaza Tower Dr
Baton Rouge, LA 70816-4378
Phone (888) 404-4813
Other practice location 12
1200 S Pine Island Rd
Plantation, FL 33324-4413
Phone (888) 404-4813
Other practice location 13
900 Fort Street Mall Ste 1680
Honolulu, HI 96813-3716
Phone (888) 404-4813
Other practice location 14
8585 Old Dairy Rd Ste 208
Juneau, AK 99801-8094
Phone (888) 404-4813
Other practice location 15
1209 N Orange St
Wilmington, DE 19801-1120
Phone (888) 404-4813
Other practice location 16
1015 15th St NW Ste 1000
Washington, DC 20005-2621
Phone (888) 404-4813
Other practice location 17
2 1/2 Beacon St
Concord, NH 03301-4447
Phone (888) 404-4813
Other practice location 18
206 S Coronado Ave
Espanola, NM 87532-2792
Phone (888) 404-4813
Other practice location 19
2 Office Park Ct Ste 103
Columbia, SC 29223-5948
Phone (888) 404-4813
Other practice location 20
319 Coteau St
Pierre, SD 57501-3187
Phone (888) 404-4813
Other practice location 21
1108 E South Union Ave
Midvale, UT 84047-2904
Phone (888) 404-4813
Other practice location 22
4701 Cox Rd Ste 285
Glen Allen, VA 23060-6808
Phone (888) 404-4813
Other practice location 23
1010 Dale St N
Saint Paul, MN 55117-5603
Phone (888) 404-4813
Other practice location 24
300 Montvue Rd
Knoxville, TN 37919-5510
Phone (888) 404-4813
Other practice location 25
208 S LaSalle St.
Suite 814
Chicago, IL 60604-1101
Phone (888) 404-4813
Other practice location 26
1833 S Morgan Rd
Oklahoma City, OK 73128-7004
Phone (888) 404-4813
Other practice location 27
600 N 2nd St Ste 401
Harrisburg, PA 17101-1071
Phone (888) 404-4813
Other practice location 28
320 S Izard St
Little Rock, AR 72201-2114
Phone (888) 404-4813
Other practice location 29
2405 York Rd Ste 201
Lutherville Timonium, MD 21093-2252
Phone (888) 404-4813
Other practice location 30
357 E Center St Ste 2J
Manchester, CT 06040-4471
Phone (888) 404-4813
Other practice location 31
1010 Dale St N
Saint Paul, MN 55117-5603
Phone (888) 404-4813
Other practice location 32
301 S Bedford St Ste 1
Madison, WI 53703-3691
Phone (888) 404-4813
Other practice location 33
306 W Main St Ste 512
Frankfort, KY 40601-1840
Phone (888) 404-4813
Other practice location 34
334 N Senate Ave
Indianapolis, IN 46204-1708
Phone (888) 404-4813
Other practice location 35
450 Veterans Memorial Pkwy Ste 7A
East Providence, RI 02914-5315
Phone (888) 404-4813
Other practice location 36
645 Lakeland East Dr Ste 101
Flowood, MS 39232-9099
Phone (888) 404-4813
Other practice location 37
400 E Court Ave
Des Moines, IA 50309-2027
Phone (888) 404-4813
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250502001637 | WA | Order and Referring Only - Internal Medicine | 1951546712 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 224368 | AK | MD | Endocrinology, Diabetes & Metabolism Physician |
| 75162 | AZ | MD | Endocrinology, Diabetes & Metabolism Physician |
| C1-0027516 | DE | MD | Endocrinology, Diabetes & Metabolism Physician |
| ME170392 | FL | MD | Endocrinology, Diabetes & Metabolism Physician |
| MD-24439-0 | HI | MD | Endocrinology, Diabetes & Metabolism Physician |
| MD-53789 | IA | MD | Endocrinology, Diabetes & Metabolism Physician |
| 036.173869 | IL | MD | Endocrinology, Diabetes & Metabolism Physician |
| 01095909A | IN | MD | Endocrinology, Diabetes & Metabolism Physician |
| 344073 | LA | MD | Endocrinology, Diabetes & Metabolism Physician |
| 2024037013 | MO | MD | Endocrinology, Diabetes & Metabolism Physician |
| 34198 | MS | MD | Endocrinology, Diabetes & Metabolism Physician |
| 35C.001905 | OH | MD | Endocrinology, Diabetes & Metabolism Physician |
| 042.0018132 | VT | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Past | Accepting new patients |
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.
-
- Family Medicine Physician
- Auburn, WA
- NPI 1013969195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
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{
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"city": "Plymouth",
"state": "MI",
"postal_code": "481704675",
"country_code": "US",
"telephone_number": "888-404-4813",
"fax_number": "888-675-4061",
"country_name": "United States",
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},
{
"address_1": "3867 Plaza Tower Dr",
"address_purpose": "LOCATION",
"city": "Baton Rouge",
"state": "LA",
"postal_code": "708164378",
"country_code": "US",
"telephone_number": "888-404-4813",
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{
"address_1": "900 Fort Street Mall Ste 1680",
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},
{
"address_1": "1209 N Orange St",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "DE",
"postal_code": "198011120",
"country_code": "US",
"telephone_number": "888-404-4813",
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},
{
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"postal_code": "200052621",
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"telephone_number": "888-404-4813",
"fax_number": "888-675-4061",
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},
{
"address_1": "2 1/2 Beacon St",
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"postal_code": "033014447",
"country_code": "US",
"telephone_number": "888-404-4813",
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{
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{
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"state": "SD",
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"address_1": "1010 Dale St N",
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},
{
"address_1": "300 Montvue Rd",
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"state": "TN",
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"telephone_number": "888-404-4813",
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},
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"address_2": "Suite 814",
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{
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"state": "AR",
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"telephone_number": "888-404-4813",
"fax_number": "888-675-4061",
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},
{
"address_1": "2405 York Rd Ste 201",
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"city": "Lutherville Timonium",
"state": "MD",
"postal_code": "210932252",
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"telephone_number": "888-404-4813",
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},
{
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"city": "Manchester",
"state": "CT",
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"country_code": "US",
"telephone_number": "888-404-4813",
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},
{
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"state": "MN",
"postal_code": "551175603",
"country_code": "US",
"telephone_number": "888-404-4813",
"fax_number": "888-675-4061",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "301 S Bedford St Ste 1",
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"state": "WI",
"postal_code": "537033691",
"country_code": "US",
"telephone_number": "888-404-4813",
"fax_number": "888-675-4061",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "306 W Main St Ste 512",
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"city": "Frankfort",
"state": "KY",
"postal_code": "406011840",
"country_code": "US",
"telephone_number": "888-404-4813",
"fax_number": "888-675-4061",
"country_name": "United States",
"address_type": "DOM"
},
{
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"city": "Indianapolis",
"state": "IN",
"postal_code": "462041708",
"country_code": "US",
"telephone_number": "888-404-4813",
"fax_number": "888-675-4061",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "450 Veterans Memorial Pkwy Ste 7A",
"address_purpose": "LOCATION",
"city": "East Providence",
"state": "RI",
"postal_code": "029145315",
"country_code": "US",
"telephone_number": "888-404-4813",
"fax_number": "888-675-4061",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "645 Lakeland East Dr Ste 101",
"address_purpose": "LOCATION",
"city": "Flowood",
"state": "MS",
"postal_code": "392329099",
"country_code": "US",
"telephone_number": "888-404-4813",
"fax_number": "888-675-4061",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 E Court Ave",
"address_purpose": "LOCATION",
"city": "Des Moines",
"state": "IA",
"postal_code": "503092027",
"country_code": "US",
"telephone_number": "888-404-4813",
"fax_number": "888-675-4061",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOH",
"first_name": "EUN KYUNG",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-22",
"last_updated": "2025-10-31",
"certification_date": "2025-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "IA",
"license": "MD-53789",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "MO",
"license": "2024037013",
"primary": false
},
{
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"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "AZ",
"license": "75162",
"primary": false
},
{
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"taxonomy_group": "",
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"state": "FL",
"license": "ME170392",
"primary": true
},
{
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"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "WA",
"license": "MD60448667",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "DE",
"license": "C1-0027516",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "OH",
"license": "35C.001905",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "ME",
"license": "MD28759",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "MS",
"license": "34198",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "AK",
"license": "224368",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "LA",
"license": "344073",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "VT",
"license": "042.0018132",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "HI",
"license": "MD-24439-0",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "IN",
"license": "01095909A",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "IL",
"license": "036.173869",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.