Active NPI
Tony Wen-Wei Ku, MD
- Pain Medicine (Anesthesiology) Physician
- Paoli, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- MD424249
- Practice address
- 53 Darby Rd Ste 1
Paoli, PA 19301-1480 - Phone
- (610) 857-7771
- Fax
- (610) 857-7772
- NPI assigned
- Jun 14, 2006
- Last updated
- Dec 10, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | MD424249 | PA | Primary |
Addresses
Primary practice location
53 Darby Rd Ste 1
Paoli, PA 19301-1480
Mailing address
53 Darby Rd Ste 1
Paoli, PA 19301-1480
Phone (610) 857-7771
Other practice location 1
625 Clark Ave
Suite 17A
King Of Prussia, PA 19406-1438
Phone (610) 857-7771
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101198724 0004 | Medicaid | PA | |
| 10119872400 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
53 Darby Rd
Suite 1
Paoli, PA 19301-1480
Phone (610) 857-7771
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tony W. Ku, MD, LLC | Pain Medicine | Current | Accepting new patients |
| Novacare Outpatient Rehabilitation East Inc | Past | Accepting new patients | |
| Middletown Anesthesia Group PC | Past | Accepting new patients |
Locations
625 Clark Ave
Ste 17A
Kng of Prussa, PA 19406
Phone (610) 768-7168
53 Darby Rd
Ste 1
Paoli, PA 19301
Phone (610) 246-1077
Organizations & group practices 3
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.
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- NPI 1942218821
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- Ferndale, MI
- NPI 1245235191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765324800000",
"number": "1346283637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 DARBY RD STE 1",
"city": "PAOLI",
"state": "PA",
"postal_code": "193011480",
"telephone_number": "610-857-7771",
"fax_number": "610-857-7772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 DARBY RD STE 1",
"city": "PAOLI",
"state": "PA",
"postal_code": "193011480",
"telephone_number": "610-857-7771",
"fax_number": "610-857-7772"
}
],
"practiceLocations": [
{
"address_1": "625 Clark Ave",
"address_2": "Suite 17A",
"address_purpose": "LOCATION",
"city": "King Of Prussia",
"state": "PA",
"postal_code": "194061438",
"country_code": "US",
"telephone_number": "610-857-7771",
"fax_number": "610-857-7772",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KU",
"first_name": "TONY",
"middle_name": "WEN-WEI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2025-12-10",
"certification_date": "2025-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "PA",
"license": "MD424249",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101198724 0004",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10119872400",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paoli, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.
- 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.