Individual provider Active NPI

Henry Koh, MD

  • Physical Medicine & Rehabilitation Physician
  • Oakland, CA
National Provider Identifier
1356654446
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A117951 Issued in CA
Practice address
350 Hawthorne Ave
Oakland, CA 94609-3108
Phone
(510) 869-8818
NPI assigned
Jul 19, 2010
Last updated
Feb 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X A117951 CA Primary

Addresses

Primary practice location

350 Hawthorne Ave
Oakland, CA 94609-3108

Mailing address

PO Box 13244
Oakland, CA 94661-0244
Phone (510) 869-8818

Other practice location 1

450 Stanyan St
San Francisco, CA 94117-1019
Phone (415) 750-5645

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20140625002265 CA Practitioner - Physical Medicine and Rehabilitation 4284859729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

350 Hawthorne Ave
FL 4
Oakland, CA 94609-3108
Phone (510) 869-6340

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A117951CAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Koh Medical Inc Physical Medicine & Rehabilitation CurrentSince Dec 17, 2014 Accepting new patients

Locations

350 Hawthorne Ave
Oakland, CA 94609
Phone (510) 655-4000

350 Hawthorne Ave
Fl 4
Oakland, CA 94609
Phone (510) 869-6340

450 Stanyan St
San Francisco, CA 94117
Phone (415) 668-1000

Interoperability endpoints

  • Direct secure messaging: hkoh266215@hisp.ehr.sutterhealth.org

Organizations & group practices 1

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.

Hospital & facility affiliations 6

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": "1279497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1356654446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13244",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946610244",
            "telephone_number": "510-869-8818",
            "fax_number": "510-506-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 HAWTHORNE AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093108",
            "telephone_number": "510-869-8818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 Stanyan St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941171019",
            "country_code": "US",
            "telephone_number": "415-750-5645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOH",
        "first_name": "HENRY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-19",
        "last_updated": "2026-02-12",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A117951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.