Individual provider Active NPI

Han-Jong Koh, MD

  • Internal Medicine Physician
  • Leesburg, VA
National Provider Identifier
1619962263
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101051485 Issued in VA
Practice address
224D Cornwall St NW
Ste 302
Leesburg, VA 20176-2700
Phone
(703) 737-7622
Fax
(703) 737-7943
NPI assigned
Sep 20, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101051485 VA Primary

Addresses

Primary practice location

224D Cornwall St NW
Ste 302
Leesburg, VA 20176-2700

Mailing address

224D Cornwall St NW
Ste 302
Leesburg, VA 20176-2700
Phone (703) 737-7740

Other identifiers 1

IdentifierTypeStateIssuer
110217163OtherMEDICARE RAILROAD

Other names 1

  • Dr. John Koh Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20110118000502 VA Practitioner - Internal Medicine 6901900661 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Wisconsin, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

224 D Cornwall St NW
Suite 302
Leesburg, VA 20176-2704
Phone (703) 737-7740

Hospital & facility affiliations

  • Five Star Home Health Care Home health agency, Chantilly, VA, CCN 497678
  • Inova Loudoun Hospital Hospital, Leesburg, VA, CCN 490043
  • Reston Hospital Center Hospital, Reston, VA, CCN 490107

Merit-based Incentive Payment System (MIPS)

Final score
91.67 of 100Reported as individual
Quality
98.38
Promoting interoperability
100
Improvement activities
40
Cost
73.85

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101051485VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lansdowne Internal Medicine LLC Internal Medicine CurrentSince Aug 14, 2000 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

224D Cornwall St NW
Ste 302
Leesburg, VA 20176
Phone (703) 737-7622

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FCHEAA

Organizations & group practices 2

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 4

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1619962263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224D CORNWALL ST NW",
            "address_2": "STE 302",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201762700",
            "telephone_number": "703-737-7740",
            "fax_number": "888-857-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224D CORNWALL ST NW",
            "address_2": "STE 302",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201762700",
            "telephone_number": "703-737-7622",
            "fax_number": "703-737-7943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOH",
        "first_name": "HAN-JONG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101051485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "110217163",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "KOH",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Leesburg, VA

Sources for this page

Verify at the official NPI Registry.