Individual provider Active NPI

Joseph K. Koo, M.D.

  • Infectious Disease Physician
  • Honolulu, HI
National Provider Identifier
1457350985
Registry record updated Dec 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MD-6718 Issued in HI
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2023

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 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

IdentifierTypeStateIssuer
055439-01MedicaidHI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
MD-6718HIMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph K Koo MD Infectious Disease CurrentSince Jan 1, 1990 Accepting new patients
Emily Diep, M.D., LLC PastSince Jun 14, 2014 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.

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

Verify at the official NPI Registry.