DR. JE DEUK KO M.D. PH.D.
NPI 1356792758
Psychiatry & Neurology - Psychiatry in Los Angeles, CA

Active since June 27, 2016PECOS EnrolledAccepts Medicare Assignment
10921 WILSHIRE BLVD STE 409B, LOS ANGELES, CA 90024(310) 922-0584 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 22, 2023, Aug 4, 2022, Apr 21, 2021 and 3 more (6 updates tracked since 2016).

About Dr. Je Deuk Ko M.d. Ph.d. NPPES

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

DR. JE DEUK KO M.D. PH.D. (NPI 1356792758) is an individual psychiatry provider in Los Angeles, California, licensed in California (179040) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS and is a graduate of Saint Louis University School Of Medicine (2016).

NPPES Registry Identity

NPI1356792758
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. JE DEUK KOCredential: M.D. PH.D.
Location Address10921 WILSHIRE BLVD STE 409BLos Angeles, CA 90024-4001
Mailing Address9736 Yoakum DrBeverly Hills, CA 90210-1436 · (310) 922-0584
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 2016
Enumeration DateJune 27, 2016
Last NPPES UpdateJuly 30, 20256 updates tracked since enumeration
NPPES CertifiedJuly 30, 2025
NPI 1356792758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses Licensed in CA · 179040 Licensed in MA · 278739
Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License 278739 (MA), A179040 (CA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 2016021108 (MO)
10921 WILSHIRE BLVD STE 409B, Los Angeles, CA 90024

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

Dr. Je Deuk Ko M.d. Ph.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 ID4587952551
PECOS Enrollment IDI20200226001812, I20240411004882
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

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
28 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90024 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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

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

Psychiatry & Neurology (Psychiatry)
10921 WILSHIRE BLVD STE 409B
LOS ANGELES, CA 90024

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 Je Ko's NPI number?

The NPI number for Je Ko is 1356792758. It was assigned to this individual provider in the NPPES registry on June 27, 2016.

Where is Je Ko located?

Je Ko practices at 10921 Wilshire Blvd Ste 409B, Los Angeles, CA 90024. The listed phone number is (310) 922-0584.

What is Je Ko's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Je Ko enrolled in Medicare?

Yes. Je Ko 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 Je Ko was last updated on July 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.