Chae M. Ko, M.D.

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

50011 Issued in TN

Practice address

510 Recovery Rd Ste 201
Nashville, TN 37211-4874

Phone

(615) 781-4433

Fax

(615) 781-4432

NPI assigned

Jul 1, 2009

Last updated

Jan 18, 2022By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Sports MedicineAlso: Family Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Medical Group PCGroup PAC ID 9739084088, 46 clinicians

Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Suncrest Home Health Home health agency, Clarksville, TN, CCN 447298

Merit-based Incentive Payment System (MIPS)

Final score

87.41 of 100Reported as group

Quality

77.64

Promoting interoperability

100

Improvement activities

40

Cost

80.4

Merit-based Incentive Payment System (MIPS)

Final score

92.17 of 100Reported as apm

Quality

84.34

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: chae.ko.1@7977.direct.athenahealth.com
• Direct secure messaging: chae.ko@hca1.eclinicaldirectplus.com

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.

• Premier Medical Group PC

  dba PMedical Group

  • General Practice Physician
  • Clarksville, TN
  • NPI 1740242957
  Medicare reassignment Care Compare group NPD
• Urgent Care Enterprise LLC

  • Urgent Care Clinic/Center
  • Antioch, TN
  • NPI 1477087658
  Medicare reassignment NPD
• American Current Care PA

  dba Concentra Urgent Care

  • Urgent Care Clinic/Center
  • Addison, TX
  • NPI 1184805574
  NPD
• Radiology Alliance PC

  • Diagnostic Radiology Physician
  • Nashville, TN
  • NPI 1861478489
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Clarksville Home Care Services LLC

  dba SunCrest Home Health

  • Home Health Agency
  • Clarksville, TN
  • NPI 1427003607
  Care Compare affiliation

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1871721563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 RECOVERY RD STE 201",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114874",
            "telephone_number": "615-781-4433",
            "fax_number": "615-781-4432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 RECOVERY RD STE 201",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114874",
            "telephone_number": "615-781-4433",
            "fax_number": "615-781-4432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KO",
        "first_name": "CHAE",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-01",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "50011",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TN",
            "license": "50011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Knox, LPC/MHSP
• Rachel Knox
• Sheila G Knox, PA-C
• Wendy Lynn Knuckles, APRN BC
• Ashley Elizabeth Knutson
• Myat Kyaw Ko, MD
• Kenji Ryan Kobayashi, MD
• Emily Kobin, MD
• Irene Ann Koc, MD
• Christopher Troy Koch, MD

• Sports Medicine (Family Medicine) Physician in Nashville, TN
• Providers in Nashville, TN by specialty
• Sports Medicine (Family Medicine) Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; 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.