Individual provider Active NPI

Christine B Koo, MD

  • Obstetrics & Gynecology Physician
  • Seattle, WA
National Provider Identifier
1932361128
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD60467924 Issued in WA
Practice address
1201 Terry Ave FL 8
Seattle, WA 98101-2735
Phone
(206) 287-6300
Fax
(206) 341-1250
NPI assigned
Jun 27, 2008
Last updated
Aug 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD60467924 WA Primary

Addresses

Primary practice location

1201 Terry Ave FL 8
Seattle, WA 98101-2735

Mailing address

1201 Terry Ave FL 8
Seattle, WA 98101-2735
Phone (206) 287-6300

Other identifiers 1

IdentifierTypeStateIssuer
2038584MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20140829001311 WA Practitioner - Obstetrics/Gynecology 3971755166 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Rutgers New Jersey Medical School, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

1201 Terry Ave
FL 8
Seattle, WA 98101-2735
Phone (206) 287-6300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60467924WAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group Current Accepting new patients
Optum Care Washington PLLC Family Medicine CurrentSince Sep 22, 2014 Accepting new patients
Franciscan Medical Group Family Medicine CurrentSince Oct 6, 2023 Accepting new patients
Optum Care Washington PLLC Family Medicine CurrentSince Sep 22, 2014 Accepting new patients
Obstetrix Medical Group of Phoenix PC Past Accepting new patients
Franciscan Medical Group Family Medicine Past Accepting new patients
Obstetrix Medical Group of Phoenix PC Past Accepting new patients

Locations

1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903

1920 100th St SE
Ste B
Everett, WA 98208
Phone (425) 312-0202

900 Pacific Ave
Everett, WA 98201
Phone (425) 258-7900

34503 9th Ave S
Ste 130
Federal Way, WA 98003
Phone (253) 835-5340

15418 Main St
Mill Creek, WA 98012
Phone (425) 225-8000

15418 Main St
Ste 200
Mill Creek, WA 98012
Phone (425) 225-8000

1201 Terry Ave
Fl 8
Seattle, WA 98101
Phone (206) 287-6300

1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299

Interoperability endpoints

  • Direct secure messaging: ckoo884042@fhsce.catholichealth.net

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": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1932361128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 TERRY AVE FL 8",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981012735",
            "telephone_number": "206-287-6300",
            "fax_number": "206-341-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 TERRY AVE FL 8",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981012735",
            "telephone_number": "206-287-6300",
            "fax_number": "206-341-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOO",
        "first_name": "CHRISTINE",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-27",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "MD60467924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2038584",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.