Active NPI
Joseph K. Koo, M.D.
- Infectious Disease Physician
- Honolulu, HI
National Provider Identifier
1457350985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- MD-6718
- Practice address
- 321 N. Kuakini Street, Suite 715
Kuakini Medical Plaza
Honolulu, HI 96817 - Phone
- (808) 523-6461
- Fax
- (808) 550-0466
- NPI assigned
- Jul 18, 2005
- Last updated
- Dec 23, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | MD-6718 | HI | Primary |
Addresses
Primary practice location
321 N. Kuakini Street, Suite 715
Kuakini Medical Plaza
Honolulu, HI 96817
Mailing address
PO Box 57
Honolulu, HI 96810-0057
Phone (808) 836-3303
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 055439-01 | Medicaid | HI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070104000459 | HI | Practitioner - Infectious Disease | 6901806504 | Practice locations: Honolulu, HI |
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- University of Hawaii John a. Burns School of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
321 N Kuakini St
Suite 715
Honolulu, HI 96817-2362
Phone (808) 523-6461
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-6718 | HI | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joseph K Koo MD | Infectious Disease | Current | Accepting new patients |
| Emily Diep, M.D., LLC | Past | Accepting new patients | |
| Lance Michael Kurata, MD, Inc. | Past | Accepting new patients | |
| Jack Jie Zhou MD Inc. | Past | Accepting new patients |
Locations
321 N Kuakini St
Ste 715
Honolulu, HI 96817
Phone (808) 435-5425
Organizations & group practices 4
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.
-
- Infectious Disease Physician
- Honolulu, HI
- NPI 1104694850
-
- Internal Medicine Physician
- Honolulu, HI
- NPI 1003242637
-
- Primary Care Clinic/Center
- Honolulu, HI
- NPI 1295916112
-
- Primary Care Clinic/Center
- Honolulu, HI
- NPI 1245417179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703289600000",
"number": "1457350985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 57",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968100057",
"telephone_number": "808-836-3303",
"fax_number": "808-836-3303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 N. KUAKINI STREET, SUITE 715",
"address_2": "KUAKINI MEDICAL PLAZA",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96817",
"telephone_number": "808-523-6461",
"fax_number": "808-550-0466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOO",
"first_name": "JOSEPH",
"middle_name": "K.",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-18",
"last_updated": "2023-12-23",
"certification_date": "2023-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "HI",
"license": "MD-6718",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "055439-01",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.