KA YEON KOOK
NPI 1205797347
Physician Assistant - Medical in Dallas, TX

Active since November 19, 2025PECOS EnrolledAccepts Medicare Assignment
1018 N ZANG BLVD STE 110, DALLAS, TX 75208(972) 266-8765 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ka Yeon Kook NPPES

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

KA YEON KOOK (NPI 1205797347) is an individual medical provider in Dallas, Texas, licensed in Texas (PA19476) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS and is a graduate of Duke University School Of Medicine (2025).

NPPES Registry Identity

NPI1205797347
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKA YEON KOOK
Location Address1018 N ZANG BLVD STE 110Dallas, TX 75208-4123
Mailing Address1018 N Zang Blvd Ste 110Dallas, TX 75208-4123 · (972) 266-8765
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 2025
Enumeration DateNovember 19, 2025
NPPES CertifiedNovember 19, 2025
NPI 1205797347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in TX · PA19476
1018 N ZANG BLVD STE 110, Dallas, TX 75208

Other Names 1

Other Name (5)Amelia Kayeon Kook

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

Ka Yeon Kook 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 ID6002393311
PECOS Enrollment IDI20260116002120
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 5

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

Physician Assistant
1018 N ZANG BLVD STE 110
DALLAS, TX 75208
Physician Assistant (Medical)
1018 N ZANG BLVD STE 110
DALLAS, TX 75208
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1018 N ZANG BLVD STE 110
DALLAS, TX 75208
Nurse Practitioner
1018 N ZANG BLVD STE 110
DALLAS, TX 75208
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1018 N ZANG BLVD STE 110
DALLAS, TX 75208

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 Ka Yeon Kook's NPI number?

The NPI number for Ka Yeon Kook is 1205797347. It was assigned to this individual provider in the NPPES registry on November 19, 2025. The provider is also known as Amelia Kayeon Kook.

Where is Ka Yeon Kook located?

Ka Yeon Kook practices at 1018 N Zang Blvd Ste 110, Dallas, TX 75208. The listed phone number is (972) 266-8765.

What is Ka Yeon Kook's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Ka Yeon Kook enrolled in Medicare?

Yes. Ka Yeon Kook 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 Ka Yeon Kook was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.