Active NPI
Brian Koo, M.D.
- Neurology Physician
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 52133
- Practice address
- 11100 Euclid Ave
Cleveland, OH 44106 - Phone
- (216) 286-6260
- NPI assigned
- Sep 7, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 52133 | CT | Primary |
Addresses
Primary practice location
11100 Euclid Ave
Cleveland, OH 44106
Mailing address
PO Box 208018
New Haven, CT 06520-8018
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2849716 | Medicaid | OH | |
| P00743380 | Other | OH | MEDICARE RAILROAD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bkoo225487@direct.stfranciscare.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- 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
- Neurology
- Education
- Tufts University School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
800 Howard Ave
New Haven, CT 06519-1369
Phone (203) 785-2140
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Health of New England Provider Network Organization Inc | Current | Accepting new patients | |
| Prospect CT Medical Foundation, Inc. | Current | Accepting new patients | |
| Yale University | Current | Accepting new patients | |
| State of Connecticut | Current | Accepting new patients | |
| Yale University | Current | Accepting new patients | |
| Trinity Health of New England Provider Network Organization Inc | Current | Accepting new patients | |
| Yale University | Neurology | Current | Accepting new patients |
| State of Connecticut | Current | Accepting new patients | |
| University Primary Care Practices Inc | Neurology | Past | Accepting new patients |
| University Primary Care Practices Inc | Past | Accepting new patients |
Locations
1801 W Olympic Blvd
#2201
Pasadena, CA 91199
114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001
165 Capitol Ave
Ste 2000
Hartford, CT 06106
18 Haynes St
Uppr
Manchester, CT 06040
Phone (860) 649-7557
1579 Straits Tpke
Ste 2A
Middlebury, CT 06762
Phone (203) 754-3631
1625 Straits Tpke
Ste 307
Middlebury, CT 06762
Phone (203) 758-2635
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
300 George St
Fl 6
New Haven, CT 06511
Phone (203) 785-6610
34 Park St
North Haven, CT 06519
Phone (203) 974-7417
64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142
Interoperability endpoints
- bkoo130940@direct.ynhh.org
Organizations & group practices 10
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
- Manchester, CT
- NPI 1144677568
-
- Psychiatric Hospital
- New Haven, CT
- NPI 1881629434
-
- Internal Medicine Physician
- Hartford, CT
- NPI 1003882812
-
- Skilled Nursing Facility
- Rocky Hill, CT
- NPI 1205951662
-
- Internal Medicine Physician
- Waterville, ME
- NPI 1134779531
-
- Adult Mental Health Clinic/Center
- Hamden, CT
- NPI 1134391824
-
- Durable Medical Equipment & Medical Supplies
- Fairfield, CT
- NPI 1548066962
-
- Neurology Physician
- Euclid, OH
- NPI 1235255316
-
- Orthopaedic Surgery Physician
- Oberlin, OH
- NPI 1982727087
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bridgeport, CT
- NPI 1649260845
-
- General Acute Care Hospital
- Bridgeport, CT
- NPI 1992910152
-
- General Acute Care Hospital
- New London, CT
- NPI 1073530879
-
- General Acute Care Hospital
- New London, CT
- NPI 1700092459
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1336139500
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1578778726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740614400000",
"number": "1346435930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 208018",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065208018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11100 EUCLID AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "44106",
"telephone_number": "216-286-6260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOO",
"first_name": "BRIAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-07",
"last_updated": "2025-02-27",
"certification_date": "2025-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CT",
"license": "52133",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2849716",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00743380",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bkoo225487@direct.stfranciscare.org",
"affiliation": "N",
"endpointDescription": "CT Direct email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "1625 Straits Tpke Ste 307",
"city": "Middlebury",
"state": "CT",
"country_code": "US",
"postal_code": "067621836",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.