NPIMap

Individual provider Active NPI

Dong Ko, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Allentown, PA
National Provider Identifier
1629066329
Registry record updated Sep 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
MD418216 Issued in PA
Practice address
1146 S. Cedar Crest
2ND Floor
Allentown, PA 18103-7938
Phone
(610) 366-9000
Fax
(610) 366-9229
NPI assigned
Oct 7, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X MD418216 PA Primary

Addresses

Primary practice location

1146 S. Cedar Crest
2ND Floor
Allentown, PA 18103-7938

Mailing address

1146 S. Cedar Crest
2ND Floor
Allentown, PA 18103-7938
Phone (610) 366-9000

Other identifiers 1

IdentifierTypeStateIssuer
3486216MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040323000943 PA Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 9032000633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
Wayne State University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehigh Valley Pain and Primary Care IncGroup PAC ID 7315851565, 7 clinicians

Practice addresses (Care Compare)

1146 S Cedar Crest Blvd
Allentown, PA 18103-7938
Phone (610) 366-9000

1789 N Keyser Ave
Scranton, PA 18508-1250
Phone (610) 366-9000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
34.87 of 100Reported as individual
Quality
16.67
Improvement activities
0
Cost
72.37

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Pain & Primary Care Inc. CurrentSince Nov 2, 1992 Accepting new patients
Cedar Crest Surgery Center LLC Past Accepting new patients

Locations

1146 S Cedar Crest Blvd
Ste 100
Allentown, PA 18103
Phone (610) 984-1300

4825 W Tilghman St
Allentown, PA 18104
Phone (610) 821-4950

1146 S Cedar Crest Blvd
Fl 2
Allentown, PA 18103

1146 S Cedar Crest Blvd
Ste 2
Allentown, PA 18103

832 Seven Bridge Rd
Ste 115
East Stroudsburg, PA 18301

1201A N Church St
Ste 120
Hazle Township, PA 18202

428 S 7th St
Lehighton, PA 18235
Phone (610) 401-3559

100 Schuylkill Medical Plz
Ste 106
Pottsville, PA 17901
Phone (570) 621-5450

1789 N Keyser Ave
Scranton, PA 18508
Phone (570) 969-1904

4 Park Plz
Ste 101
Wyomissing, PA 19610

4 Park Plz
Wyomissing, PA 19610
Phone (610) 376-0901

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1629066329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1146 S. CEDAR CREST",
            "address_2": "2ND FLOOR",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181037938",
            "telephone_number": "610-366-9000",
            "fax_number": "610-366-9229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1146 S. CEDAR CREST",
            "address_2": "2ND FLOOR",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181037938",
            "telephone_number": "610-366-9000",
            "fax_number": "610-366-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KO",
        "first_name": "DONG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "PA",
            "license": "MD418216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3486216",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.