DR. MICHELLE KOO DPM
NPI 1578629770
Podiatrist - Foot Surgery in Miami Beach, FL
About Dr. Michelle Koo Dpm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MICHELLE KOO DPM (NPI 1578629770) is an individual foot surgery provider in Miami Beach, Florida, licensed in Florida (PO 3281) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 6
Other Identifiers 1
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. Michelle Koo Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Michelle Koo's NPI number?
The NPI number for Michelle Koo is 1578629770. It was assigned to this individual provider in the NPPES registry on December 29, 2006.
Where is Michelle Koo located?
Michelle Koo practices at 4302 Alton Rd Ste 300, Miami Beach, FL 33140. The listed phone number is (305) 672-9989.
What is Michelle Koo's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.
Is Michelle Koo enrolled in Medicare?
Yes. Michelle Koo is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Michelle Koo was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Dr. Michelle Koo, DPM · NPI 1578629770
Foot Surgery provider in Miami Beach, Florida. Individual provider, active in the CMS NPPES registry since December 29, 2006.
## Identity
- **NPI:** 1578629770 (Entity type: Individual)
- **Enumerated:** December 29, 2006
- **Primary specialty:** Podiatrist - Foot Surgery · taxonomy 213ES0131X
- **State license:** PO 3281 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4302 ALTON RD STE 300, Miami Beach, FL 33140-2818
- **Phone:** (305) 672-9989
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** June 9, 2025
- **Other identifiers:** Medicaid 340656300 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1578629770) · Data from the CMS NPPES public registry.