Individual provider Active NPI

Mitchell Robert Chiong Kho, MD

  • Psychiatry Physician
  • Glen Mills, PA
National Provider Identifier
1891836862
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD-065625-L Issued in PA
Practice address
600 Evergreen Dr
Suite 630
Glen Mills, PA 19342-1053
Phone
(610) 358-2250
Fax
(610) 358-2251
NPI assigned
Feb 10, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD-065625-L PA Primary

Addresses

Primary practice location

600 Evergreen Dr
Suite 630
Glen Mills, PA 19342-1053

Mailing address

208 Flourtown Rd
Plymouth Meeting, PA 19462-1209

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NC2 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
I20040126000162 PA Practitioner - Psychiatry 1456253822 Reassigns benefits to 4 organizations
I20170110001183 NC Practitioner - Psychiatry 1456253822

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Citywide Community Counseling Service IncGroup PAC ID 3476928979, 2 clinicians

Practice addresses (Care Compare)

537 E Allegheny Ave
Philadelphia, PA 19134-2328
Phone (215) 291-9500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-065625-LPAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
T.W. Ponessa & Associates Counseling Services, Inc. CurrentSince Jun 20, 2025 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Sep 26, 2022 Accepting new patients
Uhs of Pennsylvania Inc Psychiatry Current Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Sep 26, 2022 Accepting new patients
Uhs of Pennsylvania Inc Psychiatry CurrentSince May 10, 2017 Accepting new patients
Citywide Community Counseling Service Inc CurrentSince Feb 1, 2026 Accepting new patients
Prospect Health Access Network, Inc. Current Accepting new patients
Prospect CCMC, LLC Past Accepting new patients
Prospect CCMC, LLC Past Accepting new patients
Villa St John Vianney PastSince Aug 4, 2020 Accepting new patients

Locations

800 Park Way
Ste A
Broomall, PA 19008
Phone (215) 718-4350

1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666

1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744

410 N Prince St
Lancaster, PA 17603

15 S 9th St
Lebanon, PA 17042
Phone (717) 273-5992

722 E Butler Pike
Maple Glen, PA 19002
Phone (215) 643-7800

100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281

Organizations & group practices 10

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": "1171065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1891836862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 FLOURTOWN RD",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 EVERGREEN DR",
            "address_2": "SUITE 630",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193421053",
            "telephone_number": "610-358-2250",
            "fax_number": "610-358-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHO",
        "first_name": "MITCHELL ROBERT",
        "middle_name": "CHIONG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD-065625-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Mills, PA

Sources for this page

Verify at the official NPI Registry.