ENRIQUE KOH MD
NPI 1184629552
Family Medicine in Ebensburg, PA

Active since June 14, 2005PECOS EnrolledAccepts Medicare Assignment
1100 W HIGH ST, EBENSBURG, PA 15931(814) 472-7933(814) 472-2301 Get Directions Write a Review

NPPES record last updated: March 13, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Enrique Koh Md NPPES

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

ENRIQUE KOH MD (NPI 1184629552) is an individual family medicine provider in Ebensburg, Pennsylvania, licensed in Pennsylvania (MD052898L) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Upmc Altoona, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1184629552
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameENRIQUE KOHCredential: MD
Location Address1100 W HIGH STEbensburg, PA 15931-1706
Mailing Address1086 Franklin StJohnstown, PA 15905-4305 · (814) 410-8300 · Fax (814) 410-8331
Fax(814) 472-2301
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateJune 14, 2005
Last NPPES UpdateMarch 13, 2014
NPI 1184629552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PA · MD052898L
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1100 W HIGH ST, Ebensburg, PA 15931

Other Identifiers 3

Medicaid0014671780003PA
Medicare UPINF82391
Medicare PIN056330PA

Accepted 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

Enrique Koh Md 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 ID9638207434
PECOS Enrollment IDI20100517000096
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 2

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
47 services41 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Upmc Altoona

Acute Care Hospitals · Altoona, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390073
Location620 Howard AvenueAltoona, PA 16601 · Blair County
Emergency services Birthing friendly

Conemaugh Memorial Medical Center

Acute Care Hospitals · Johnstown, PA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number390110
Location1086 Franklin StreetJohnstown, PA 15905 · Cambria County
Emergency services Birthing friendly

Conemaugh Miners Medical Center

Critical Access Hospitals · Hastings, PA
OwnershipProprietary
CMS Certification Number391317
Location290 Haida AvenueHastings, PA 16646 · Cambria County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15931 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers21 claims34 services$6.70 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers14 claims25 services$35.39 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers23 claims89 services$2.27 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers11 claims11 services$185.63 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

Emergency Medicine (Sports Medicine)
1100 W HIGH ST
EBENSBURG, PA 15931
Family Medicine
1100 W HIGH ST
EBENSBURG, PA 15931
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1100 W HIGH ST
EBENSBURG, PA 15931
Family Medicine
1100 W HIGH ST
EBENSBURG, PA 15931
Home Health
1100 W HIGH ST, SUITE 105
EBENSBURG, PA 15931
Non-Pharmacy Dispensing Site
1100 W HIGH ST
EBENSBURG, PA 15931
Physician Assistant
1100 W HIGH ST
EBENSBURG, PA 15931
Family Medicine
1100 W HIGH ST
EBENSBURG, PA 15931

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 Enrique Koh's NPI number?

The NPI number for Enrique Koh is 1184629552. It was assigned to this individual provider in the NPPES registry on June 14, 2005.

Where is Enrique Koh located?

Enrique Koh practices at 1100 W High St, Ebensburg, PA 15931. The listed phone number is (814) 472-7933.

What is Enrique Koh's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Enrique Koh enrolled in Medicare?

Yes. Enrique Koh 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 Enrique Koh accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Enrique Koh 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 Enrique Koh affiliated with any hospitals?

According to CMS data, Enrique Koh is affiliated with Upmc Altoona, Conemaugh Memorial Medical Center and Conemaugh Miners Medical Center.

When was this NPI record last updated?

The NPPES record for Enrique Koh was last updated on March 13, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.