Individual provider Active NPI

Audrey Ko, M.D.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Waukee, IA
National Provider Identifier
1891089546
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
MD-44227 Issued in IA
Practice address
1025 SE Tallgrass LN Ste 210
Waukee, IA 50263-6817
Phone
(515) 875-9480
Fax
(515) 875-9481
NPI assigned
May 30, 2011
Last updated
Jul 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD-44227 IA
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X MD-44227 IA Primary

Addresses

Primary practice location

1025 SE Tallgrass LN Ste 210
Waukee, IA 50263-6817

Mailing address

7147 Vista Dr Ste 150
West Des Moines, IA 50266-9317
Phone (515) 875-9255

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address audreyko@tic.allscriptsdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, IA2 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
I20151005002773 CA Practitioner - Ophthalmology 2264740661 Reassigns benefits to 1 organization
I20170616002168 IA Practitioner - Ophthalmology 2264740661 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Iowa, RJ & L Carver College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Iowa Clinic PCGroup PAC ID 4082513742, shared by 9 NPIs, 307 clinicians
Wolfe Clinic IncGroup PAC ID 8628979291, 37 clinicians
Thrive Health IV Clinic PCGroup PAC ID 0941668057, 9 clinicians

Practice addresses (Care Compare)

1025 SE Tallgrass Lne
Suite 210
Waukee, IA 50263-6817
Phone (515) 875-9744

309 E Church St
Marshalltown, IA 50158-2946
Phone (641) 754-6200

6200 Westown Pkwy
West Des Moines, IA 50266-7755
Phone (310) 363-8757

800 E 1St St
2500 Wolfe Clinic PC Ankeny
Ankeny, IA 50021-2077
Phone (515) 676-7014

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery36
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-44227IAMDOphthalmic Plastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Health IV Clinic, P.C. CurrentSince Nov 20, 2023 Accepting new patients
Wolfe Clinic Inc Ophthalmology CurrentSince Nov 1, 2019 Accepting new patients
Thrive Health IV Clinic PC CurrentSince Nov 20, 2023 Accepting new patients
Regents of the University of California CurrentSince Aug 5, 2015 Accepting new patients
Regents of the University of California Ophthalmology CurrentSince Aug 5, 2015 Accepting new patients
Riley F Uglum, OD PC Past Accepting new patients
Wolfe Surgery Center, LLC Past Accepting new patients

Locations

File 57326
Los Angeles, CA 90074

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

200 W Arbor Dr
#8201
San Diego, CA 92103
Phone (858) 534-6290

804 Kenyon Rd
Ste 100
Fort Dodge, IA 50501
Phone (515) 576-7777

309 E Church St
Marshalltown, IA 50158
Phone (515) 754-6200

8 E Spring St
New Hampton, IA 50659
Phone (641) 394-2326

6100 Westown Pkwy
Ste 200
West Des Moines, IA 50266
Phone (515) 223-8685

6200 Westown Pkwy
West Des Moines, IA 50266
Phone (515) 222-9880

Interoperability endpoints

  • Direct secure messaging: ako@wolfe.intellechartdirect.net
  • Direct secure messaging: ako3949417@direct.trinity-health.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1306713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1891089546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7147 VISTA DR STE 150",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502669317",
            "telephone_number": "515-875-9255",
            "fax_number": "515-875-9223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 SE TALLGRASS LN STE 210",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502636817",
            "telephone_number": "515-875-9480",
            "fax_number": "515-875-9481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KO",
        "first_name": "AUDREY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-30",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IA",
            "license": "MD-44227",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "IA",
            "license": "MD-44227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "audreyko@tic.allscriptsdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1025 SE Tallgrass Ln Ste 210",
            "city": "Waukee",
            "state": "IA",
            "country_code": "US",
            "postal_code": "502636817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waukee, IA

Sources for this page

Verify at the official NPI Registry.