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SOPHIA KOO M.D.
NPI 1174581771
Internal Medicine - Infectious Disease in Boston, MA

Active since May 03, 2006PECOS EnrolledAccepts Medicare Assignment
BRIGHAM & WOMEN'S HOSPITAL, 75 FRANCIS ST/MEDICINE, BOSTON, MA 02115(617) 732-6660 Get Directions Write a Review

NPPES record last updated: July 5, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sophia Koo M.d. NPPES

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

SOPHIA KOO M.D. (NPI 1174581771) is an individual infectious disease provider in Boston, Massachusetts, licensed in Massachusetts (227472) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Brigham And Women's Hospital, and is a graduate of Harvard Medical School (2004).

NPPES Registry Identity

NPI1174581771
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameSOPHIA KOOCredential: M.D.
Location AddressBRIGHAM & WOMEN'S HOSPITAL, 75 FRANCIS ST/MEDICINEBoston, MA 02115
Mailing Address111 Cypress StBrookline, MA 02445-6002 · (857) 307-0896
Phone(617) 732-6660
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 2004
Enumeration DateMay 3, 2006
Last NPPES UpdateJuly 5, 2012
✔ NPI 1174581771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in MA · 227472
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedInternal MedicineTaxonomy 207R00000X · License 227472 (MA)
BRIGHAM & WOMEN'S HOSPITAL, Boston, MA 02115
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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

Sophia Koo M.d. 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 ID3678698966
PECOS Enrollment IDI20100909000849
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
109 services60 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
80 services42 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
52 services52 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
48 services27 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
39 services32 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
26 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220110
Location75 Francis StreetBoston, MA 02115 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02115 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

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

MARK E BREZINSKI M.D.
Internal Medicine (Cardiovascular Disease)
BRIGHAM & WOMEN'S HOSPITAL, 75 FRANCIS ST.
BOSTON, MA 02115
Suffolk County (617) 732-6911
HARITH RAJAGOPALAN M.D.
Internal Medicine
BRIGHAM & WOMEN'S HOSPITAL, 75 FRANCIS STREET
BOSTON, MA 02115
Suffolk County (617) 732-5500
DR. DAVID MAXIMILIAN BARGIELA MBBS PHD
Student in an Organized Health Care Education/Training Program
BRIGHAM & WOMEN'S HOSPITAL, 75 FRANCIS STREET
BOSTON, MA 02115
Suffolk County (617) 732-5500
SAMIRA SHETH NURSE PRACTITIONER
Nurse Practitioner (Adult Health)
BRIGHAM & WOMEN'S HOSPITAL, 221 LONGWOOD AVENUE RFB 381
BOSTON, MA 02115
Suffolk County (617) 732-7672
LOUIS BRENNER M.D.
Internal Medicine (Nephrology)
BRIGHAM & WOMEN'S HOSPITAL, 75 FRANCIS STREET
BOSTON, MA 02115
Suffolk County (617) 732-6660
KARIM OUAHCHI M.D.
Pathology (Clinical Pathology/Laboratory Medicine)
BRIGHAM & WOMEN'S HOSPITAL, 75 FRANCIS STREET, PATHOLOGY
BOSTON, MA 02115
Suffolk County (617) 732-7442
ANDREW H LICHTMAN M.D.
Pathology (Anatomic Pathology)
BRIGHAM & WOMEN'S HOSPITAL, 75 FRANCIS STREET
BOSTON, MA 02115
Suffolk County (617) 525-4335
LAURA N FRAIN M.D.
Internal Medicine
BRIGHAM & WOMEN'S HOSPITAL, 75 FRANCIS STREET
BOSTON, MA 02115
Suffolk County (617) 732-6047

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 Sophia Koo's NPI number?

The NPI number for Sophia Koo is 1174581771. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is Sophia Koo located?

Sophia Koo practices at Brigham & Women's Hospital 75 Francis St/Medicine, Boston, MA 02115. The listed phone number is (617) 732-6660.

What is Sophia Koo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Sophia Koo enrolled in Medicare?

Yes. Sophia Koo 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.

What insurance does Sophia Koo accept?

Health plans from Anthem Blue Cross and Blue Shield list Sophia Koo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sophia Koo affiliated with any hospitals?

According to CMS data, Sophia Koo is affiliated with Brigham And Women's Hospital.

When was this NPI record last updated?

The NPPES record for Sophia Koo was last updated on July 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.