Individual provider Active NPI

James J Ko, MD

  • Dermatology Physician
  • Paoli, PA
National Provider Identifier
1376076786
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD474542 Issued in PA
Practice address
4 Industrial Blvd Suite 200
Paoli, PA 19301-1799
Phone
(610) 566-7111
NPI assigned
Apr 4, 2017
Last updated
Dec 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD474542 PA Primary

Addresses

Primary practice location

4 Industrial Blvd Suite 200
Paoli, PA 19301-1799

Mailing address

176 S. New Middletown Road Suite 203
Media, PA 19063-1761
Phone (610) 566-7300

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jko@directaddress.net

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
I20210701003575 PA Practitioner - Dermatology 4587939301 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Washington University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aesthetic Dermatology Associates PCGroup PAC ID 2466438148, 11 clinicians

Practice addresses (Care Compare)

4 Industrial Blvd
Suite 200
Paoli, PA 19301-1605
Phone (610) 647-4161

Merit-based Incentive Payment System (MIPS)

Final score
91.23 of 100Reported as group
Quality
100
Promoting interoperability
99
Improvement activities
40
Cost
71.59

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision23
Removal of skin lesions1143
Skin biopsy390

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aesthetic Dermatology Associates, PC Dermatology CurrentSince Jun 30, 2023 Accepting new patients
Dermatology LTD Dermatology CurrentSince Aug 23, 2021 Accepting new patients
Aesthetic Dermatology Associates, PC Dermatology CurrentSince Nov 26, 2023 Accepting new patients

Locations

101 Chesley Dr
Media, PA 19063
Phone (484) 621-0082

101 Chesley Dr
Ste 100
Media, PA 19063
Phone (610) 565-2640

176 S New Middletown Rd
Ste 203
Media, PA 19063
Phone (610) 566-7300

4 Industrial Blvd
Ste 200
Paoli, PA 19301
Phone (610) 644-3166

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": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1376076786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 S. NEW MIDDLETOWN ROAD SUITE 203",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190631761",
            "telephone_number": "610-566-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 INDUSTRIAL BLVD SUITE 200",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011799",
            "telephone_number": "610-566-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KO",
        "first_name": "JAMES",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-04",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD474542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jko@directaddress.net",
            "affiliation": "N",
            "address_1": "4 Industrial Blvd Suite 200",
            "city": "Paoli",
            "state": "PA",
            "country_code": "US",
            "postal_code": "193011799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Paoli, PA

Sources for this page

Verify at the official NPI Registry.