MR. DOMINIC E. B. KOH CPNP, ANP-C
NPI 1487657029
Nurse Practitioner - Pediatrics in Los Angeles, CA

Active since May 27, 2005PECOS EnrolledAccepts Medicare Assignment
1530 HILLHURST AVE, LOS ANGELES, CA 90027(323) 644-3880(323) 644-3892 Get Directions Write a Review

NPPES record last updated: July 6, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Dominic E. B. Koh Cpnp, Anp-c NPPES

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

MR. DOMINIC E. B. KOH CPNP, ANP-C (NPI 1487657029) is an individual pediatrics provider in Los Angeles, California, licensed in California (RN476192, NPF 8506) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1487657029
Entity TypeIndividualMale
Primary Taxonomy363LP0200X
Provider Legal NameMR. DOMINIC E. B. KOHCredential: CPNP, ANP-C
Location Address1530 HILLHURST AVELos Angeles, CA 90027-5516
Mailing Address2571 Rochelle AveMonrovia, CA 91016-4941 · (626) 303-3950
Fax(323) 644-3892
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateMay 27, 2005
Last NPPES UpdateJuly 6, 2010
NPI 1487657029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in CA · RN476192, NPF 8506
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License RN476192, NPF 8506 (CA)
1530 HILLHURST AVE, Los Angeles, CA 90027

Other Identifiers 2

Medicare UPINS98883CA
Medicare ID-Type UnspecifiedWNP8506ACA

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

Mr. Dominic E. B. Koh Cpnp, Anp-c 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 ID3971412446
PECOS Enrollment IDI20110317000058
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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
42 services40 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90027 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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

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
11 suppliers30 claims57 services$3.72 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 20

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

Clinic/Center (Community Health)
1530 HILLHURST AVE
LOS ANGELES, CA 90027
Nurse Practitioner (Women's Health)
1530 HILLHURST AVE
LOS ANGELES, CA 90027
Pediatrics
1530 HILLHURST AVE
LOS ANGELES, CA 90027
Pediatrics
1530 HILLHURST AVE
LOS ANGELES, CA 90027
Internal Medicine (Geriatric Medicine)
1530 HILLHURST AVE
LOS ANGELES, CA 90027
Physician Assistant
1530 HILLHURST AVE
LOS ANGELES, CA 90027
Clinic/Center (Community Health)
1530 HILLHURST AVE
LOS ANGELES, CA 90027
Clinic/Center (Community Health)
1530 HILLHURST AVE
LOS ANGELES, CA 90027

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 Dominic Koh's NPI number?

The NPI number for Dominic Koh is 1487657029. It was assigned to this individual provider in the NPPES registry on May 27, 2005.

Where is Dominic Koh located?

Dominic Koh practices at 1530 Hillhurst Ave, Los Angeles, CA 90027. The listed phone number is (323) 644-3880.

What is Dominic Koh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Dominic Koh enrolled in Medicare?

Yes. Dominic 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.

When was this NPI record last updated?

The NPPES record for Dominic Koh was last updated on July 6, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.