NPIMap

Individual provider Active NPI

Anthony Kyawnaing Koh, MD

  • Internal Medicine Physician
  • Pleasanton, CA
National Provider Identifier
1730166158
Registry record updated Oct 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A81090 Issued in CA
Practice address
5565 W Las Positas Blvd
Suite 260
Pleasanton, CA 94588-4001
Phone
(925) 416-5470
NPI assigned
Dec 28, 2005
Last updated
Oct 17, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2014

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 A81090 CA Primary

Addresses

Primary practice location

5565 W Las Positas Blvd
Suite 260
Pleasanton, CA 94588-4001

Mailing address

5565 W Las Positas Blvd
Suite 260
Pleasanton, CA 94588-4001
Phone (925) 416-5470

Other identifiers 1

IdentifierTypeStateIssuer
A81090OtherCACA MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20091009000281 CA Practitioner - Internal Medicine 2466455951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Healthcare AllianceGroup PAC ID 6305748799, 334 clinicians

Practice addresses (Care Compare)

1300 Crane St
Menlo Park, CA 94025-4260
Phone (650) 498-6500

20642 John Dr
Castro Valley, CA 94546-5103
Phone (888) 924-1036

4725 1St St
Suite 100
Pleasanton, CA 94566-7366
Phone (925) 462-7060

5568 Gibraltar Dr
Pleasanton, CA 94588-8544
Phone (888) 924-1036

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A81090CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Healthcare Alliance Internal Medicine CurrentSince Jun 1, 2015 Accepting new patients
Stanford Health Care Tri-Valley Past Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients
Valleycare Medical Foundation Inc Internal Medicine Past Accepting new patients
Healtheast Medical Research Institute Internal Medicine Past Accepting new patients
Affinity Medical Group Past Accepting new patients
Inpatient Consultants of California, Inc. Internal Medicine Past Accepting new patients

Locations

1300 Crane St
Menlo Park, CA 94025
Phone (510) 785-5000

4725 1st St
Ste 100
Pleasanton, CA 94566
Phone (925) 462-7060

5565 W Las Positas Blvd
Ste 260
Pleasanton, CA 94588
Phone (925) 416-5470

5568 Gibraltar Dr
Pleasanton, CA 94588
Phone (925) 534-6500

5725 W Las Positas Blvd
Ste 110
Pleasanton, CA 94588
Phone (925) 416-6767

Interoperability endpoints

  • Direct secure messaging: akoh146706@direct.stanfordhealthcare.org

Organizations & group practices 7

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413504000000",
    "number": "1730166158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5565 W LAS POSITAS BLVD",
            "address_2": "SUITE 260",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945884001",
            "telephone_number": "925-416-5470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5565 W LAS POSITAS BLVD",
            "address_2": "SUITE 260",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945884001",
            "telephone_number": "925-416-5470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOH",
        "first_name": "ANTHONY",
        "middle_name": "KYAWNAING",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2014-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A81090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA MEDICAL LICENSE",
            "identifier": "A81090",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

Verify at the official NPI Registry.