MICHELLE EUNBI KO DO
NPI 1114555810
Student in an Organized Health Care Education/Training Program in Riverside, CA

Active since March 29, 2020PECOS EnrolledAccepts Medicare Assignment
10800 MAGNOLIA AVE, RIVERSIDE, CA 92505(951) 353-4539 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 3, 2021, Mar 29, 2020 (2 updates tracked since 2020).

About Michelle Eunbi Ko Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHELLE EUNBI KO DO (NPI 1114555810) is an individual student in an organized health care education/training program in Riverside, California and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Arizona College Of Osteopathic Medicine Mid Western University (2020).

NPPES Registry Identity

NPI1114555810
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMICHELLE EUNBI KOCredential: DO
Location Address10800 MAGNOLIA AVERiverside, CA 92505-3043
Mailing Address10800 Magnolia AveRiverside, CA 92505-3043
Sole ProprietorNo
Medical School CMSArizona College Of Osteopathic Medicine Mid Western UniversityGraduated 2020
Enumeration DateMarch 29, 2020
Last NPPES UpdateDecember 3, 20212 updates tracked since enumeration
NPPES CertifiedMarch 29, 2020
NPI 1114555810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

10800 MAGNOLIA AVE, Riverside, CA 92505

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Michelle Eunbi Ko Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799176004
PECOS Enrollment IDI20230220000967
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Acute Care Hospital
10800 MAGNOLIA AVE
RIVERSIDE, CA 92505
Physician Assistant
10800 MAGNOLIA AVE
RIVERSIDE, CA 92505
Surgery
10800 MAGNOLIA AVE
RIVERSIDE, CA 92505
Internal Medicine (Critical Care Medicine)
10800 MAGNOLIA AVE
RIVERSIDE, CA 92505
Family Medicine
10800 MAGNOLIA AVE
RIVERSIDE, CA 92505
Internal Medicine
10800 MAGNOLIA AVE
RIVERSIDE, CA 92505
Thoracic Surgery (Cardiothoracic Vascular Surgery)
10800 MAGNOLIA AVE
RIVERSIDE, CA 92505
Nurse Practitioner
10800 MAGNOLIA AVE
RIVERSIDE, CA 92505

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Ko's NPI number?

The NPI number for Michelle Ko is 1114555810. It was assigned to this individual provider in the NPPES registry on March 29, 2020.

Where is Michelle Ko located?

Michelle Ko practices at 10800 Magnolia Ave, Riverside, CA 92505. The listed phone number is (951) 353-4539.

What is Michelle Ko's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Michelle Ko enrolled in Medicare?

Yes. Michelle Ko is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Michelle Ko was last updated on December 3, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.