Active NPI
James J Ko, MD
- Dermatology Physician
- Paoli, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MD474542
- Practice address
- 4 Industrial Blvd Suite 200
Paoli, PA 19301-1799 - Phone
- (610) 566-7111
- NPI assigned
- Apr 4, 2017
- Last updated
- Dec 21, 2023
- 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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Quality
- 100
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 71.59
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 23 |
| Removal of skin lesions | 1143 |
| Skin biopsy | 390 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aesthetic Dermatology Associates, PC | Dermatology | Current | Accepting new patients |
| Dermatology LTD | Dermatology | Current | Accepting new patients |
| Aesthetic Dermatology Associates, PC | Dermatology | Current | 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.
-
- Dermatology Physician
- Media, PA
- NPI 1003845835
-
- Dermatology Physician
- Media, PA
- NPI 1477508257
-
- Dermatology Physician
- Paoli, PA
- NPI 1588131536
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.