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DONGHYUN KO M.D.
NPI 1184471450
Student in an Organized Health Care Education/Training Program in Bridgeport, CT

Active since May 03, 2024PECOS Enrolled
267 GRANT STREET, MED ED PODIUM 4, C/O AMANDA KLAGER GME ADMINISTRATOR, BRIDGEPORT, CT 06610(203) 384-4442 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 7, 2024, May 3, 2024 (2 updates tracked since 2024).

About Donghyun Ko M.d. NPPES

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

DONGHYUN KO M.D. (NPI 1184471450) is an individual student in an organized health care education/training program in Bridgeport, Connecticut and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184471450
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDONGHYUN KOCredential: M.D.
Location Address267 GRANT STREET, MED ED PODIUM 4, C/O AMANDA KLAGER GME ADMINISTRATORBridgeport, CT 06610-0120
Mailing Address267 Grant Street, Med Ed Podium 4, C/o Amanda Klager Gme AdministratorBridgeport, CT 06610-0120 · (203) 384-4442
Phone(203) 384-4442
Sole ProprietorNo
Enumeration DateMay 3, 2024
Last NPPES UpdateAugust 7, 20242 updates tracked since enumeration
✔ NPI 1184471450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
267 GRANT STREET, MED ED PODIUM 4, Bridgeport, CT 06610
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Donghyun Ko M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 14

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

CORINNE RACHAEL CAISSIE M.D.
Student in an Organized Health Care Education/Training Program
267 GRANT STREET, MED ED PODIUM 4
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 384-4442
DR. MAXIM DULGHER MD
Hospitalist
267 GRANT STREET, MED ED PODIUM 4
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 384-4442
MR. VICTOR CAZAC M.D.
Student in an Organized Health Care Education/Training Program
267 GRANT STREET, MED ED PODIUM 4
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 384-4442
DR. VANESSA ORHE-OGHENE AGBERIEN MD
Student in an Organized Health Care Education/Training Program
267 GRANT STREET, MED ED PODIUM 4
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 384-4442
ABENA OHENEWAH ADEI M.D.
Student in an Organized Health Care Education/Training Program
267 GRANT STREET, MED ED PODIUM 4
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 384-4442
SHIJIA LI
Student in an Organized Health Care Education/Training Program
267 GRANT STREET, MED ED PODIUM 4
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 384-4442
NICOLE MARIE BARRETO MD
Student in an Organized Health Care Education/Training Program
267 GRANT STREET, MED ED PODIUM 4
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 384-4442
ANASTASIOS XENITIDIS
Student in an Organized Health Care Education/Training Program
267 GRANT STREET, MED ED PODIUM 4, C/O AMANDA KLAGER GME ADMINISTRATOR
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 384-4442

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 Donghyun Ko's NPI number?

The NPI number for Donghyun Ko is 1184471450. It was assigned to this individual provider in the NPPES registry on May 3, 2024.

Where is Donghyun Ko located?

Donghyun Ko practices at 267 Grant Street, Med Ed Podium 4 C/O Amanda Klager Gme Administrator, Bridgeport, CT 06610. The listed phone number is (203) 384-4442.

What is Donghyun 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 Donghyun Ko enrolled in Medicare?

Yes. Donghyun Ko is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Donghyun Ko was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.