Individual provider Active NPI

Stephanie Koh

  • Interventional Cardiology Physician
  • Sugar Land, TX
National Provider Identifier
1639523897
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
S0715 Issued in TX
Practice address
1327 Lake Pointe Pkwy
Sugar Land, TX 77478-4095
Phone
(171) 379-8352
NPI assigned
Apr 14, 2016
Last updated
Jun 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X U0715 TX
Cardiovascular Disease Physician 207RC0000X S0715 TX
Interventional Cardiology Physician 207RI0011X S0715 TX Primary

Addresses

Primary practice location

1327 Lake Pointe Pkwy
Sugar Land, TX 77478-4095

Mailing address

1327 Lake Pointe Pkwy
Sugar Land, TX 77478-4095
Phone (171) 379-8352

Other practice location 1

200 W Arbor Dr
8425
San Diego, CA 92103-1911
Phone (619) 543-6268

Other practice location 2

1 Baylor Plz
Houston, TX 77030-3411
Phone (713) 798-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20230705002202 TX Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 4486013794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of Texas Southwestern Medical School at Dallas, 2026
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baylor College of MedicineGroup PAC ID 8022243971, 1,230 clinicians

Practice addresses (Care Compare)

1317 Lake Pointe Pkwy
Sugar Land, TX 77478-3997
Phone (713) 637-7210

17450 St Luke's Way
The Woodlands, TX 77384-8046
Phone (713) 798-1000

2 Greenway PLZ
Suite 900
Houston, TX 77046-0205

6720 Bertner Ave
Houston, TX 77030-2604

6770 Bertner Ave
Suite C 350
Houston, TX 77030-2604
Phone (713) 798-1000

7200 Cambridge St
Houston, TX 77030-4202

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince Jul 1, 2023 Accepting new patients
Baylor College of Medicine CurrentSince Jul 1, 2023 Accepting new patients

Locations

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

7200 Cambridge St
Fl 6
Houston, TX 77030
Phone (713) 798-2545

1327 Lake Pointe Pkwy
Sugar Land, TX 77478
Phone (281) 566-1800

17450 St Lukes Way
Ste 340
The Woodlands, TX 77384
Phone (936) 266-2645

1 Baylor Plz
Va Hospital, TX 77030
Phone (713) 798-5588

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1460592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1639523897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 LAKE POINTE PKWY",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784095",
            "telephone_number": "171-379-8352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1327 LAKE POINTE PKWY",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784095",
            "telephone_number": "171-379-8352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 W ARBOR DR",
            "address_2": "8425",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921031911",
            "country_code": "US",
            "telephone_number": "619-543-6268",
            "fax_number": "619-543-6529",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Baylor Plz",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770303411",
            "country_code": "US",
            "telephone_number": "713-798-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOH",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-14",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "U0715",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "S0715",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "S0715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.