Individual provider Active NPI

Andrew Seungkyo Koo, M.D.

  • Obstetrics & Gynecology Physician
  • Highlands Ranch, CO
National Provider Identifier
1831540772
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
DR.0070771 Issued in CO
Practice address
1500 Park Central Dr
Highlands Ranch, CO 80129-6688
Phone
(720) 516-4068
NPI assigned
Jun 22, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X DR.0070771 CO Primary
Obstetrics & Gynecology Physician 207V00000X 4301110209 MI

Addresses

Primary practice location

1500 Park Central Dr
Highlands Ranch, CO 80129-6688

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Other practice location 1

2150 Pennsylvania Ave NW Fl 5
Washington, DC 20037-3201
Phone (202) 741-2500

Other practice location 2

3535 W 13 Mile Rd
MOB Ste 233
Royal Oak, MI 48073-6770
Phone (248) 551-0845

Other practice location 3

777 Bannock St
Denver, CO 80204-4597
Phone (303) 436-4949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20231023001408 CO Practitioner - Obstetrics/Gynecology 4688092109 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Oakland Univ, William Beaumont School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Physicians IncorporatedGroup PAC ID 3476465667, 3,189 clinicians

Practice addresses (Care Compare)

1500 Park Central Dr
Highlands Ranch, CO 80129-6688
Phone (720) 516-1100

Hospital & facility affiliations

  • Uchealth Highlands Ranch Hospital Hospital, Highlands Ranch, CO, CCN 060132

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0070771COMDObstetrics & Gynecology Physician
4301110209MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Health and Hospital Authority CurrentSince Oct 23, 2023 Accepting new patients
University Physicians, Incorporated CurrentSince Oct 1, 2023 Accepting new patients
Denver Health and Hospital Authority CurrentSince Oct 23, 2023 Accepting new patients
University Physicians Incorporated CurrentSince Oct 1, 2023 Accepting new patients
University Physicians Incorporated Obstetrics & Gynecology Current Accepting new patients
Uchealth Highlands Ranch Hospital Past Accepting new patients

Locations

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

12605 E 16th Ave
Aurora, CO 80045
Phone (720) 848-0006

777 Bannock St
Denver, CO 80204

Dept 1061
Denver, CO 80256

1500 Park Central Dr
Ste 402
Highlands Ranch, CO 80129

1500 Park Central Dr
Littleton, CO 80129
Phone (720) 516-1000

Interoperability endpoints

  • Direct secure messaging: akoo19692@gwmfa.direct-ci.com
  • Direct secure messaging: akoo301784@direct.dhha.org

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.

Hospital & facility affiliations 1

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": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1831540772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110429",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800420429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 PARK CENTRAL DR",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801296688",
            "telephone_number": "720-516-4068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2150 Pennsylvania Ave NW Fl 5",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200373201",
            "country_code": "US",
            "telephone_number": "202-741-2500",
            "fax_number": "202-741-2550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3535 W 13 Mile Rd",
            "address_2": "MOB Ste 233",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480736770",
            "country_code": "US",
            "telephone_number": "248-551-0845",
            "fax_number": "248-551-3130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "777 Bannock St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802044597",
            "country_code": "US",
            "telephone_number": "303-436-4949",
            "fax_number": "303-602-9150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOO",
        "first_name": "ANDREW",
        "middle_name": "SEUNGKYO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-22",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "DR.0070771",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301110209",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highlands Ranch, CO

Sources for this page

Verify at the official NPI Registry.