Individual provider Active NPI

Daniel Koh, MD

  • Hematology & Oncology Physician
  • Quincy, IL
National Provider Identifier
1306946033
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
036155512 Issued in IL
Practice address
1005 Broadway St
Quincy, IL 62301-2834
Phone
(217) 223-8400
NPI assigned
Sep 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 036155512 IL Primary
Hematology & Oncology Physician 207RH0003X 2021030706 MO
Hematology & Oncology Physician 207RH0003X MD-49003 IA

Addresses

Primary practice location

1005 Broadway St
Quincy, IL 62301-2834

Mailing address

1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 223-8400

Other practice location 1

100 Medical Dr
Hannibal, MO 63401-6877
Phone (573) 406-5800

Other identifiers 4

IdentifierTypeStateIssuer
03716745MedicaidNY
641050PZPOtherPAMEDICARE
1034672960001MedicaidPA
P01316383OtherNYRAILROAD MEDICARE

Other names 1

  • Yea Suk Koh Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, IL, MO3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20180405000604 PA Practitioner - Medical OncologyPractitioner - Hematology 6406807965 Reassigns benefits to 2 organizations
I20210317000473 IL Practitioner - Hematology/Oncology 6406807965 Reassigns benefits to 2 organizations
I20211209002778 MO Practitioner - Hematology/Oncology 6406807965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blessing HospitalGroup PAC ID 3072422534, 414 clinicians

Practice addresses (Care Compare)

1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 223-8400

5985 Hospital Dr
Hannibal, MO 63401-6886
Phone (573) 406-5800

Hospital & facility affiliations

  • Blessing Hospital Hospital, Quincy, IL, CCN 140015
  • Illini Community Hospital Hospital, Pittsfield, IL, CCN 141315
  • Memorial Hospital Hospital, Carthage, IL, CCN 141305
  • Barnes Jewish Hospital Hospital, Saint Louis, MO, CCN 260032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. 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

OrganizationSpecialtyStatusNew patients
Quincy Clinical Laboratory Services SC Current Accepting new patients
West Central Pathology Specialists, S.C. Current Accepting new patients
Centre County Cancer Center Hematology & Oncology CurrentSince Nov 30, 2020 Accepting new patients
Blessingcare Corporation Current Accepting new patients
Family Care Centers Inc CurrentSince Feb 11, 2018 Accepting new patients
Blessingcare Corporation CurrentSince Apr 1, 2021 Accepting new patients
Blessing Hospital Current Accepting new patients
Family Care Centers Inc. Hematology & Oncology Current Accepting new patients
Blessing Hospital CurrentSince Apr 1, 2021 Accepting new patients
Blessing Hospital Current Accepting new patients
Blessing Hospital CurrentSince Apr 1, 2021 Accepting new patients
Blessingcare Corporation Hematology & Oncology CurrentSince Apr 1, 2021 Accepting new patients
Blessing Hospital Past Accepting new patients
Blessing Hospital Past Accepting new patients

Locations

1414 Main St
Keokuk, IA 52632
Phone (319) 524-0123

640 W Washington St
Pittsfield, IL 62363
Phone (217) 285-2113

1005 Broadway St
Quincy, IL 62301

101 Medical Dr
Hannibal, MO 63401

5985 Hospital Dr
Hannibal, MO 63401
Phone (573) 406-5800

100 Medical Dr
Hannibal, MO 63401

103 E Commercial St
Kahoka, MO 63445
Phone (660) 727-3377

450 E Sigler Ave
Memphis, MO 63555
Phone (660) 465-2828

500 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 426-2330

500 Plaza Ct
Ste A
East Stroudsburg, PA 18301
Phone (570) 424-9970

155 Wellness Way
State College, PA 16803
Phone (800) 367-0179

235 Wellness Way
State College, PA 16803
Phone (814) 231-7800

Interoperability endpoints

  • Direct secure messaging: danielkoh@blessing.allscriptsdirect.net
  • Direct secure messaging: danielkoh@hrmg.allscriptsdirect.net
  • FHIR API: https://fhir.blessinghospital.com/R4/open-Prod

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 5

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": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1306946033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 BROADWAY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012834",
            "telephone_number": "217-223-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 BROADWAY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012834",
            "telephone_number": "217-223-8400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "Hannibal",
            "state": "MO",
            "postal_code": "634016877",
            "country_code": "US",
            "telephone_number": "573-406-5800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOH",
        "first_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-23",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IL",
            "license": "036155512",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MO",
            "license": "2021030706",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IA",
            "license": "MD-49003",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03716745",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "641050PZP",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1034672960001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01316383",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YEA SUK",
            "last_name": "KOH",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Quincy, IL

Sources for this page

Verify at the official NPI Registry.