Individual provider Active NPI

Tony Wen-Wei Ku, MD

  • Pain Medicine (Anesthesiology) Physician
  • Paoli, PA
National Provider Identifier
1346283637
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
MD424249 Issued in PA
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
101198724 0004MedicaidPA
10119872400MedicaidPA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050510000148 PA Practitioner - Pain ManagementPractitioner - Anesthesiology 2961442942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
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

OrganizationSpecialtyStatusNew patients
Tony W. Ku, MD, LLC Pain Medicine CurrentSince Jul 1, 2013 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.

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

Verify at the official NPI Registry.