Individual provider Active NPI

Hoonmo Lee Koo, MD

  • Infectious Disease Physician
  • Houston, TX
National Provider Identifier
1386803336
Registry record updated Feb 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
L8775 Issued in TX
Practice address
2201 W Holcombe Blvd Ste 305
Houston, TX 77030-2032
Phone
(713) 791-1020
Fax
(713) 791-1022
NPI assigned
Jun 5, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X L8775 TX Primary

Addresses

Primary practice location

2201 W Holcombe Blvd Ste 305
Houston, TX 77030-2032

Mailing address

2201 W Holcombe Blvd Ste 305
Houston, TX 77030-2032
Phone (713) 791-1020

Other identifiers 2

IdentifierTypeStateIssuer
212856301MedicaidTX
8F2115OtherTXBCBS OF TEXAS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040804001259 TX Practitioner - Infectious DiseasePractitioner - Internal Medicine 0244201028 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
University of Texas Medical School at Houston, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inpatient Infectious Disease ConsultantsGroup PAC ID 2062542640, 4 clinicians

Practice addresses (Care Compare)

2201 W Holcombe Blvd
Suite 305
Houston, TX 77030-2032
Phone (713) 791-1020

Hospital & facility affiliations

  • Houston Methodist Hospital Hospital, Houston, TX, CCN 450358
  • Baylor St Lukes Medical Center Hospital, Houston, TX, CCN 450193

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince May 17, 2014 Accepting new patients
Baylor College of Medicine CurrentSince May 17, 2014 Accepting new patients
Baylor College of Medicine Current Accepting new patients
Baylor College of Medicine CurrentSince Jul 1, 2008 Accepting new patients
Baylor College of Medicine Past Accepting new patients
National Primary Care Network, PA Past Accepting new patients

Locations

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

6550 Fannin St
#1018
Houston, TX 77030
Phone (713) 793-8902

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

Interoperability endpoints

  • Direct secure messaging: hkoo26432@directhoustonmethodist.org

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550188800000",
    "number": "1386803336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 W HOLCOMBE BLVD STE 305",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302032",
            "telephone_number": "713-791-1020",
            "fax_number": "713-791-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 W HOLCOMBE BLVD STE 305",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302032",
            "telephone_number": "713-791-1020",
            "fax_number": "713-791-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOO",
        "first_name": "HOONMO",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-05",
        "last_updated": "2019-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "L8775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "212856301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "8F2115",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.