Individual provider Active NPI

Sami S Koro, MD

  • Radiation Oncology Physician
  • Clinton, IA
National Provider Identifier
1730822925
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
SP-0263 Issued in IA
Practice address
1410 N 4TH St
Clinton, IA 52732-2940
Phone
(563) 244-3611
Fax
(563) 244-2842
NPI assigned
Apr 15, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X SP-0263 IA Primary

Addresses

Primary practice location

1410 N 4TH St
Clinton, IA 52732-2940

Mailing address

1410 N 4TH St
Clinton, IA 52732-2940
Phone (563) 244-3611

Other practice location 1

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-2253

Other practice location 2

3010 Northgate Dr Ste 100
Iowa City, IA 52245-9572
Phone (319) 354-8777

Other practice location 3

1001 Pennsylvania Ave
Ottumwa, IA 52501-6427
Phone (641) 684-2480

Other practice location 4

1315 W Agency Rd
West Burlington, IA 52655-1654
Phone (319) 768-3900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20230707001708 IA Practitioner - Radiation Oncology 8628455318 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State University of IowaGroup PAC ID 7618884230, 1,886 clinicians

Practice addresses (Care Compare)

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-1616

Hospital & facility affiliations

  • Mercyone Clinton Medical Center Hospital, Clinton, IA, CCN 160080
  • Mercyone Genesis Dewitt Medical Center Hospital, Dewitt, IA, CCN 161313

Merit-based Incentive Payment System (MIPS)

Final score
80.02 of 100Reported as group
Quality
75.68
Promoting interoperability
78
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP-0263IAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State University of Iowa CurrentSince Jul 3, 2023 Accepting new patients
State University of Iowa Past Accepting new patients

Locations

1351 Kimberly Rd
Ste 200
Bettendorf, IA 52722
Phone (563) 441-1998

3010 Northgate Dr
Ste 100
Iowa City, IA 52245
Phone (319) 354-8777

200 Hawkins Dr
#H
Iowa City, IA 52242
Phone (319) 356-1616

200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-1616

1001 Pennsylvania Ave
Ottumwa, IA 52501
Phone (641) 472-4111

1315 W Agency Rd
West Burlington, IA 52655
Phone (319) 752-2584

Interoperability endpoints

  • Direct secure messaging: skoro3933825@direct.trinity-health.org

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 2

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": "1649980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1730822925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 N 4TH ST",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527322940",
            "telephone_number": "563-244-3611",
            "fax_number": "563-244-2842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 N 4TH ST",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527322940",
            "telephone_number": "563-244-3611",
            "fax_number": "563-244-2842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Hawkins Dr",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522421009",
            "country_code": "US",
            "telephone_number": "319-356-2253",
            "fax_number": "319-384-5902",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3010 Northgate Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522459572",
            "country_code": "US",
            "telephone_number": "319-354-8777",
            "fax_number": "319-354-9545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Pennsylvania Ave",
            "address_purpose": "LOCATION",
            "city": "Ottumwa",
            "state": "IA",
            "postal_code": "525016427",
            "country_code": "US",
            "telephone_number": "641-684-2480",
            "fax_number": "641-684-2746",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1315 W Agency Rd",
            "address_purpose": "LOCATION",
            "city": "West Burlington",
            "state": "IA",
            "postal_code": "526551654",
            "country_code": "US",
            "telephone_number": "319-768-3900",
            "fax_number": "319-768-3919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KORO",
        "first_name": "SAMI",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-15",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IA",
            "license": "SP-0263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, IA

Sources for this page

Verify at the official NPI Registry.