Individual provider Active NPI

Mickey Seong Koo Cho, MD

  • Orthopaedic Surgery Physician
  • San Antonio, TX
National Provider Identifier
1811002348
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
M2288 Issued in TX
Practice address
2829 Babcock Rd Ste 700
San Antonio, TX 78229-6015
Phone
(210) 804-5400
NPI assigned
Aug 21, 2006
Last updated
May 14, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X M2288 TX Primary
Orthopaedic Hand Surgery Physician 207XS0106X M2288 TX

Addresses

Primary practice location

2829 Babcock Rd Ste 700
San Antonio, TX 78229-6015

Mailing address

400 Concord Plaza Dr Ste 300
San Antonio, TX 78216-6991
Phone (210) 804-5416

Other practice location 1

601 Creekside Xing Ste 106
New Braunfels, TX 78130-4093
Phone (210) 804-5400

Other practice location 2

5000 Schertz Pkwy Ste 600
Schertz, TX 78154-1457
Phone (210) 804-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20051019000628 TX Practitioner - Orthopedic SurgeryPractitioner - Hand Surgery 4587680590 Reassigns benefits to 3 organizations
I20161214000560 IL Practitioner - Orthopedic Surgery 4587680590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Hand Surgery
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2829 Babcock Rd
Suite 700
San Antonio, TX 78229-6015
Phone (210) 804-5400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)64

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Timberland Medical Group CurrentSince Oct 1, 2013 Accepting new patients
Rockford Health Physicians CurrentSince Nov 30, 2016 Accepting new patients
Texas Tech University Health Sciences Center El Paso Orthopaedic Surgery CurrentSince Jun 2, 2009 Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Jun 2, 2009 Accepting new patients
Timberland Medical Group CurrentSince Oct 1, 2013 Accepting new patients
Texas Tech University Health Sciences Center El Paso Current Accepting new patients
The San Antonio Orthopaedic Group, LLP Orthopaedic Surgery CurrentSince May 1, 2019 Accepting new patients
The San Antonio Orthopaedic Group, LLP Orthopaedic Surgery CurrentSince May 1, 2019 Accepting new patients
Trinity Regional Medical Center Orthopaedic Surgery Past Accepting new patients

Locations

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

2350 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-2200

2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310

1401 Medical Pkwy
Bldg B
Cedar Park, TX 78613
Phone (512) 528-7480

4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200

601 Creekside Xing
Ste 106
New Braunfels, TX 78130
Phone (210) 630-4637

111 Dallas St
Fl 4
San Antonio, TX 78205
Phone (210) 297-7195

1200 Brooklyn Ave
Ste 320
San Antonio, TX 78212
Phone (210) 225-5741

2829 Babcock Rd
Ste 700
San Antonio, TX 78229
Phone (210) 593-1485

400 Concord Plaza Dr
Ste 300
San Antonio, TX 78216
Phone (210) 804-5416

5000 Schertz Pkwy
Ste 600
Schertz, TX 78154
Phone (210) 804-5672

Interoperability endpoints

  • Direct secure messaging: mickey.cho.1@3199.direct.athenahealth.com
  • Direct secure messaging: mickey.cho.1@94.direct.athenahealth.com

Organizations & group practices 9

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 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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1811002348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CONCORD PLAZA DR STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166991",
            "telephone_number": "210-804-5416",
            "fax_number": "210-678-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 BABCOCK RD STE 700",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782296015",
            "telephone_number": "210-804-5400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Creekside Xing Ste 106",
            "address_purpose": "LOCATION",
            "city": "New Braunfels",
            "state": "TX",
            "postal_code": "781304093",
            "country_code": "US",
            "telephone_number": "210-804-5400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5000 Schertz Pkwy Ste 600",
            "address_purpose": "LOCATION",
            "city": "Schertz",
            "state": "TX",
            "postal_code": "781541457",
            "country_code": "US",
            "telephone_number": "210-804-5400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHO",
        "first_name": "MICKEY",
        "middle_name": "SEONG KOO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "M2288",
            "primary": true
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "TX",
            "license": "M2288",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.