Individual provider Active NPI

Peter Lee Kok, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Concord, MA
National Provider Identifier
1538423496
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
271063 Issued in MA
Practice address
54 Baker Avenue Ext Ste 200
Concord, MA 01742
Phone
(978) 369-5391
NPI assigned
Jun 26, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 271063 MA
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 271063 MA Primary

Addresses

Primary practice location

54 Baker Avenue Ext Ste 200
Concord, MA 01742

Mailing address

115 Norwest Dr
Norwood, MA 02062-1478
Phone (617) 921-9185

Other practice location 1

200 1st St SW
Rochester, MN 55905-0001
Phone (507) 284-2511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20170829003686 MA Practitioner - Orthopedic Surgery 2769628882 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Columbia University College of Physicians and Surgeons, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Affiliates IncGroup PAC ID 6103844261, 18 clinicians

Practice addresses (Care Compare)

54 Baker Ave Ext
Suite 200
Concord, MA 01742-2137
Phone (978) 369-5391

Hospital & facility affiliations

  • Emerson Hospital Home Care Program Home health agency, Concord, MA, CCN 227072
  • Emerson Hospital - Hospital, W Concord, MA, CCN 220084

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)39

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Affiliates Inc Orthopaedic Surgery CurrentSince Aug 20, 2018 Accepting new patients
Orthopedic Affiliates, Inc. Orthopaedic Surgery CurrentSince Aug 20, 2018 Accepting new patients
Emerson Hospital Current Accepting new patients

Locations

54 Baker Avenue Ext
Ste 200
Concord, MA 01742
Phone (978) 369-5391

34 Highland Cmn E
Hudson, MA 01749
Phone (978) 263-0007

830 Constitution Ave
Littleton, MA 01460
Phone (978) 287-8990

133 Littleton Rd
Ste 104
Westford, MA 01886
Phone (978) 369-2665

Interoperability endpoints

  • Direct secure messaging: kok.peter.epho@direct.partners.masshiway.net

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 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": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1538423496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 NORWEST DR",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020621478",
            "telephone_number": "617-921-9185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 BAKER AVENUE EXT STE 200",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "01742",
            "telephone_number": "978-369-5391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 1st St SW",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "559050001",
            "country_code": "US",
            "telephone_number": "507-284-2511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOK",
        "first_name": "PETER",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-26",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "271063",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "MA",
            "license": "271063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, MA

Sources for this page

Verify at the official NPI Registry.