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SELENE CLARISSA KOO MD, PHD
NPI 1205122967
Pathology - Pediatric Pathology in Memphis, TN

Active since June 21, 2011PECOS Enrolled
262 DANNY THOMAS PL, MEMPHIS, TN 38105(888) 226-4343 Get Directions Write a Review

NPPES record last updated: February 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 13, 2025, May 14, 2021, Mar 17, 2018 and 2 more (5 updates tracked since 2016).

About Selene Clarissa Koo Md, Phd NPPES

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

SELENE CLARISSA KOO MD, PHD (NPI 1205122967) is an individual pediatric pathology provider in Memphis, Tennessee, licensed in Tennessee (62776) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1205122967
Entity TypeIndividualFemale
Primary Taxonomy207ZP0213X
Provider Legal NameSELENE CLARISSA KOOCredential: MD, PHD
Location Address262 DANNY THOMAS PLMemphis, TN 38105-3678
Mailing Address262 Danny Thomas Pl # Ms 515Memphis, TN 38105-3678
Phone(888) 226-4343
Sole ProprietorNo
Enumeration DateJune 21, 2011
Last NPPES UpdateFebruary 13, 20255 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2025
✔ NPI 1205122967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Pediatric PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0213X
License✔ Licensed in TN · 62776
Definition
A pediatric pathologist is expert in the laboratory diagnosis of diseases that occur during fetal growth, infancy and child development. The practice requires a strong foundation in general pathology and substantial understanding of normal growth and development, along with extensive knowledge of pediatric medicine.
Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X · License 125059369 (IL), 35.132164 (OH), 62776 (TN)
262 DANNY THOMAS PL, Memphis, TN 38105
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1300 Longwood Ave, Department of Pathology - BCH 3027Boston, MA 02115-5724 · Phone (617) 355-7431
Location 2700 Childrens Dr Rm J0336Columbus, OH 43205-2664 · Phone (614) 722-5315

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Selene Clarissa Koo Md, Phd 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38105 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 20

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

MISS JENNIFER ELAINE ROEMER CPNP-AC
Nurse Practitioner (Pediatrics)
262 DANNY THOMAS PL
MEMPHIS, TN 38105
Shelby County (901) 595-3300
MR. ALBERTO S. PAPPO M.D.
Pediatrics (Pediatric Hematology-Oncology)
262 DANNY THOMAS PL
MEMPHIS, TN 38105
Shelby County (901) 595-6765
MS. HEATHER MARIE CONKLIN PHD
Psychologist (Clinical)
262 DANNY THOMAS PL
MEMPHIS, TN 38105
Shelby County (901) 595-3006
ALYSSA COTTON
Nurse Practitioner (Family)
262 DANNY THOMAS PL
MEMPHIS, TN 38105
Shelby County (901) 595-3300
ARMITA BAHRAMI MD
Pathology (Anatomic Pathology & Clinical Pathology)
262 DANNY THOMAS PL
MEMPHIS, TN 38105
Shelby County (901) 595-3300
DR. SEAN PHIPPS PH.D.
Psychologist (Clinical Child & Adolescent)
262 DANNY THOMAS PL
MEMPHIS, TN 38105
Shelby County (901) 595-3006
WENDY BOURLAND D.O.
Pediatrics (Pediatric Hematology-Oncology)
262 DANNY THOMAS PL, MAILSTOP 260
MEMPHIS, TN 38105
Shelby County (901) 595-3300
JAMES MICHAEL BURGESS DNP, MBA, RN
Clinical Nurse Specialist (Oncology, Pediatrics)
262 DANNY THOMAS PL
MEMPHIS, TN 38105
Shelby County (901) 595-3300

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 Selene Koo's NPI number?

The NPI number for Selene Koo is 1205122967. It was assigned to this individual provider in the NPPES registry on June 21, 2011.

Where is Selene Koo located?

Selene Koo practices at 262 Danny Thomas Pl, Memphis, TN 38105. The listed phone number is (888) 226-4343.

What is Selene Koo's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Pediatric Pathology, with taxonomy code 207ZP0213X.

Is Selene Koo enrolled in Medicare?

Yes. Selene Koo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Selene Koo was last updated on February 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.