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DR. SUSAN T KOO MD
NPI 1386173698
Anesthesiology - Addiction Medicine in Stockton, CA

Active since June 08, 2017PECOS Enrolled
8626 LOWER SACRAMENTO RD STE 41, STOCKTON, CA 95210(209) 478-2487 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Susan T Koo Md NPPES

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

DR. SUSAN T KOO MD (NPI 1386173698) is an individual addiction medicine provider in Stockton, California, licensed in California (A87500) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386173698
Entity TypeIndividualFemale
Primary Taxonomy207LA0401X
Provider Legal NameDR. SUSAN T KOOCredential: MD
Location Address8626 LOWER SACRAMENTO RD STE 41Stockton, CA 95210-1835
Mailing Address4107 Stone Edge CtSugar Land, TX 77479-2434 · (415) 672-2669
Phone(209) 478-2487
Sole ProprietorNo
Enumeration DateJune 8, 2017
Last NPPES UpdateJuly 23, 2025
NPPES CertifiedJuly 23, 2025
✔ NPI 1386173698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiology · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LA0401X
License✔ Licensed in CA · A87500
Definition
An anesthesiologist who specializes in the diagnosis and treatment of addictions.
Also ListedGeneral PracticeTaxonomy 208D00000X · License TPME766 (FL)
8626 LOWER SACRAMENTO RD STE 41, Stockton, CA 95210
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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)

Dr. Susan T Koo Md 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 95210 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

NORMAN LOVE
Counselor (Addiction (Substance Use Disorder))
8626 LOWER SACRAMENTO RD STE 41
STOCKTON, CA 95210
San Joaquin County (209) 478-2487
VICHRA YOU
Counselor (Addiction (Substance Use Disorder))
8626 LOWER SACRAMENTO RD STE 41
STOCKTON, CA 95210
San Joaquin County (209) 478-2487
ELYNA EVANS-JOSEPH
Adult Companion
8626 LOWER SACRAMENTO RD STE 41
STOCKTON, CA 95210
San Joaquin County (209) 478-2487
MARIO LOPEZ
Counselor (Addiction (Substance Use Disorder))
8626 LOWER SACRAMENTO RD STE 41
STOCKTON, CA 95210
San Joaquin County (209) 478-2487
CARISA MORONES
Licensed Vocational Nurse
8626 LOWER SACRAMENTO RD STE 41
STOCKTON, CA 95210
San Joaquin County (209) 986-6341
KEN MORALES ALCANTARA BSN, RN, LVN
Licensed Vocational Nurse
8626 LOWER SACRAMENTO RD STE 41
STOCKTON, CA 95210
San Joaquin County (209) 478-2487
VINCENT E MORRIS
Counselor (Addiction (Substance Use Disorder))
8626 LOWER SACRAMENTO RD STE 41
STOCKTON, CA 95210
San Joaquin County (209) 554-5188
AEGIS TREATMENT CENTERS, LLC
Clinic/Center (Methadone)
8626 LOWER SACRAMENTO RD STE 41, SUITE 41
STOCKTON, CA 95210
San Joaquin County (209) 478-2487

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 Susan Koo's NPI number?

The NPI number for Susan Koo is 1386173698. It was assigned to this individual provider in the NPPES registry on June 8, 2017.

Where is Susan Koo located?

Susan Koo practices at 8626 Lower Sacramento Rd Ste 41, Stockton, CA 95210. The listed phone number is (209) 478-2487.

What is Susan Koo's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Addiction Medicine, with taxonomy code 207LA0401X.

Is Susan Koo enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Susan Koo was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.