Roxanne Leilani Ko, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

333663 Issued in NY

Practice address

82-11 37TH Ave
Floor 5
Jackson Heights, NY 11372-1137

Phone

(718) 567-5200

NPI assigned

Apr 12, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989

Interoperability endpoints

• Direct secure messaging: rlko@direct.nshcorp.org
• FHIR API: https://fhir4.healow.com/fhir/r4/JJBGAA

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.

• Apicha Community Health Center

  • Federally Qualified Health Center (FQHC)
  • New York, NY
  • NPI 1730303017
  Medicare reassignment NPD
• Apicha Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Jackson Heights, NY
  • NPI 1396238283
  NPD
• Norton Sound Health Corporation

  • Critical Access Hospital
  • Nome, AK
  • NPI 1154358232

  Family Medicine

  NPD

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1821678061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8211 37TH AVE FL 5",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727010",
            "telephone_number": "718-567-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82-11 37TH AVE",
            "address_2": "FLOOR 5",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113721137",
            "telephone_number": "718-567-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KO",
        "first_name": "ROXANNE",
        "middle_name": "LEILANI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-12",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "333663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Jo Kirby, L.C.S.W.
• Leonardo Javier Klein, LCSW
• Kevin James Kleinknecht, LMSW
• KLS Medical, PC
• Gina Lyn Kmiotek, LMSW
• Sharona Kohan, OD
• Jun Phaik Quah Kong, M.S., CCC-SLP
• Dominique Koonce
• Omar Korban
• Zuzanna Korczyc

• Family Medicine Physician in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.