William T. Ko, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

26333 Issued in AZ

Practice address

2224 W Northern Ave Ste D300
Phoenix, AZ 85021

Phone

(602) 277-1449

Fax

(602) 277-9984

NPI assigned

Jun 7, 2006

Last updated

Oct 25, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Dermatology

Education

Northeastern Ohio University College of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Center for Dermatology PLLCGroup PAC ID 1557355385, 69 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.48 of 100Reported as group

Quality

82.26

Promoting interoperability

83

Improvement activities

40

Cost

76.85

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Center for Dermatology, PLLC

  dba Arizona Dermatology

  • Dermatology Physician
  • Scottsdale, AZ
  • NPI 1194792416
  Medicare reassignment Care Compare group NPD
• Arizona Skin and Laser Therapy Institute, LTD

  • Dermatology Physician
  • Show Low, AZ
  • NPI 1740373257
  Medicare reassignment NPD
• Arizona Skin and Laser Therapy Institute, LLC

  • Dermatology Physician
  • Phoenix, AZ
  • NPI 1790732832
  Authorized official Same address or phone
• Arizona Skin and Laser Therapy Institute, LTD

  • Dermatology Physician
  • Quartzsite, AZ
  • NPI 1427506203
  NPD
• Arizona Skin and Laser Therapy Institute, LTD

  • Dermatology Physician
  • Phoenix, AZ
  • NPI 1770519019
  NPD
• Arizona Skin and Laser Therapy Institute, LTD

  • Dermatology Physician
  • Mesa, AZ
  • NPI 1659829109
  NPD (past)
• Center for Dermatology, PLLC

  • Medical Physician Assistant
  • Scottsdale, AZ
  • NPI 1174062673
  NPD (past)

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540425600000",
    "number": "1841230976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2224 W NORTHERN AVE STE D300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850215099",
            "telephone_number": "602-277-1449",
            "fax_number": "602-277-9984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2224 W NORTHERN AVE STE D300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85021",
            "telephone_number": "602-277-1449",
            "fax_number": "602-277-9984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2224 W Northern Ave Ste D300",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "85021",
            "country_code": "US",
            "telephone_number": "602-277-1449",
            "fax_number": "602-277-9984",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2121 W Indian School Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850154908",
            "country_code": "US",
            "telephone_number": "602-277-1449",
            "fax_number": "602-277-9984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KO",
        "first_name": "WILLIAM",
        "middle_name": "T.",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2018-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "26333",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "AZ",
            "license": "26333",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "AZ",
            "license": "26333",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2Z2527",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8009018002",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "007180050",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "070015308",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "AZ0873220",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "686868",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace Knuttinen, M.D., PH.D
• Rachel Knutzen, PSY.D.
• Jeffery David Knytych, NMD
• Jupil Ko, PHD, ATC
• Rachel Ko
• Emir Kobic
• Jenna Koblinski, MD
• Erika Lauren Kobziak
• John Jerome Koc III, D.C.
• Kocch Care LLC

• Dermatology Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Dermatology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.