Active NPI
Daniel Koh, MD
- Hematology & Oncology Physician
- Quincy, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 036155512
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03716745 | Medicaid | NY | |
| 641050PZP | Other | PA | MEDICARE |
| 1034672960001 | Medicaid | PA | |
| P01316383 | Other | NY | RAILROAD MEDICARE |
Other names 1
- Yea Suk Koh
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, IL, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
- Illini Community Hospital
- Memorial Hospital
- Barnes Jewish Hospital
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.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New 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 | Current | Accepting new patients |
| Blessingcare Corporation | Current | Accepting new patients | |
| Family Care Centers Inc | Current | Accepting new patients | |
| Blessingcare Corporation | Current | Accepting new patients | |
| Blessing Hospital | Current | Accepting new patients | |
| Family Care Centers Inc. | Hematology & Oncology | Current | Accepting new patients |
| Blessing Hospital | Current | Accepting new patients | |
| Blessing Hospital | Current | Accepting new patients | |
| Blessing Hospital | Current | Accepting new patients | |
| Blessingcare Corporation | Hematology & Oncology | Current | 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
- danielkoh@blessing.allscriptsdirect.net
- danielkoh@hrmg.allscriptsdirect.net
- 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.
-
- Emergency Medicine Physician
- Pittsfield, IL
- NPI 1992038640
-
- Hematology & Oncology Physician
- State College, PA
- NPI 1477891711
-
- Internal Medicine Physician
- E Stroudsburg, PA
- NPI 1669563037
Hematology & Oncology
-
- Social Worker
- Quincy, IL
- NPI 1073918462
-
- General Acute Care Hospital
- Quincy, IL
- NPI 1760571699
-
- Hematology & Oncology Physician
- Pittsfield, IL
- NPI 1356674006
-
- Social Worker
- Pittsfield, IL
- NPI 1972908390
-
- Anatomic Pathology & Clinical Pathology Physician
- Quincy, IL
- NPI 1114773272
-
- Anatomic Pathology & Clinical Pathology Physician
- Quincy, IL
- NPI 1083895452
-
- Rural Health Clinic/Center
- Monroe City, MO
- NPI 1013683507
-
- Family Medicine Physician
- East Stroudsburg, PA
- NPI 1316409626
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Quincy, IL
- NPI 1760571699
-
- Critical Access Hospital
- Pittsfield, IL
- NPI 1720086218
-
- Critical Access Hospital
- Carthage, IL
- NPI 1730139031
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1649299827
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.