DR. GRACE KOH DDS
NPI 1497769913
Dentist - Periodontics in Buffalo Grove, IL
About Dr. Grace Koh Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GRACE KOH DDS (NPI 1497769913) is an individual periodontics provider in Buffalo Grove, Illinois and active in the NPI registry since July 2006. She has opted out of Medicare through December 19, 2026 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Grace Koh Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 19, 2016 through December 19, 2026.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60089 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BUFFALO GROVE, IL 60089
BUFFALO GROVE, IL 60089
BUFFALO GROVE, IL 60089
BUFFALO GROVE, IL 60089
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 Grace Koh's NPI number?
The NPI number for Grace Koh is 1497769913. It was assigned to this individual provider in the NPPES registry on July 28, 2006.
Where is Grace Koh located?
Grace Koh practices at 1501 W Dundee Rd #108, Buffalo Grove, IL 60089. The listed phone number is (847) 818-9950.
What is Grace Koh's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.
Is Grace Koh enrolled in Medicare?
No. Grace Koh has opted out of Medicare through December 19, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does Grace Koh accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of Wisconsin, Inc. and 3 other insurers list Grace Koh as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Grace Koh was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.
# Dr. Grace Koh, DDS · NPI 1497769913
Periodontics provider in Buffalo Grove, Illinois. Individual provider, active in the CMS NPPES registry since July 28, 2006.
## Identity
- **NPI:** 1497769913 (Entity type: Individual)
- **Enumerated:** July 28, 2006
- **Primary specialty:** Dentist - Periodontics · taxonomy 1223P0300X
- **Sole proprietor:** No
## Practice location
- **Address:** 1501 W DUNDEE RD, #108, Buffalo Grove, IL 60089-4006
- **Phone:** (847) 818-9950
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through December 19, 2026); services are provided under private contract
## Record status
- **NPPES last updated:** July 8, 2007
---
Source: [NPI Profile](https://npiprofile.com/npi/1497769913) · Data from the CMS NPPES public registry.