Individual provider Active NPI

Kathleen Ko, MD

  • Family Medicine Physician
  • League City, TX
National Provider Identifier
1649242330
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L6088 Issued in TX
Practice address
201 Enterprise Ave
Suite 900
League City, TX 77573-3082
Phone
(281) 334-2826
Fax
(281) 334-1949
NPI assigned
Feb 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L6088 TX Primary

Addresses

Primary practice location

201 Enterprise Ave
Suite 900
League City, TX 77573-3082

Mailing address

201 Enterprise Ave
Suite 900
League City, TX 77573-3082
Phone (281) 334-2826

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
I20040805000852 TX Practitioner - Family Practice 4486625076 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dayal Family Medicine PA Family Medicine CurrentSince Nov 1, 2020 Accepting new patients
South Shore Medical Center Family Medicine Past Accepting new patients
Primamed Physicians PLLC PastSince Feb 9, 2025 Accepting new patients
Clear Lake Primary Care PLLC Family Medicine PastSince Nov 1, 2020 Accepting new patients
Primamed Physicians PLLC PastSince Feb 9, 2025 Accepting new patients
Richardson Physician Alliance Family Medicine Past Accepting new patients

Locations

3032 Marina Bay Dr
Ste 200
League City, TX 77573
Phone (832) 604-6534

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649242330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 ENTERPRISE AVE",
            "address_2": "SUITE 900",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733082",
            "telephone_number": "281-334-2826",
            "fax_number": "281-334-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 ENTERPRISE AVE",
            "address_2": "SUITE 900",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733082",
            "telephone_number": "281-334-2826",
            "fax_number": "281-334-1949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KO",
        "first_name": "KATHLEEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L6088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

Verify at the official NPI Registry.