CAROLINE J KO DPM
NPI 1588126288
Podiatrist - Foot & Ankle Surgery in Oakland, CA

Active since April 02, 2019PECOS EnrolledAccepts Medicare Assignment
3600 BROADWAY STE 17, OAKLAND, CA 94611(510) 752-1155 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 6, 2023, Apr 2, 2019 (2 updates tracked since 2019).

About Caroline J Ko Dpm NPPES

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

CAROLINE J KO DPM (NPI 1588126288) is an individual foot & ankle surgery provider in Oakland, California, licensed in California (00000000) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Vallejo, and is a graduate of California School Of Podiatric Medicine (2019).

NPPES Registry Identity

NPI1588126288
Entity TypeIndividualFemale
Primary Taxonomy213ES0103X
Provider Legal NameCAROLINE J KOCredential: DPM
Location Address3600 BROADWAY STE 17Oakland, CA 94611-5730
Mailing Address1333 Powell St Unit A331Emeryville, CA 94608-2598 · (574) 850-1981
Sole ProprietorNo
Medical School CMSCalifornia School Of Podiatric MedicineGraduated 2019
Enumeration DateApril 2, 2019
Last NPPES UpdateOctober 29, 20242 updates tracked since enumeration
NPPES CertifiedOctober 29, 2024
✔ NPI 1588126288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in CA · 00000000
3600 BROADWAY STE 17, Oakland, CA 94611

Secondary Practice Location 1

Location 1975 Sereno DrVallejo, CA 94589-2441 · Phone (574) 850-1981

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Caroline J Ko Dpm 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 ID8729455472
PECOS Enrollment IDI20221109001053
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Caroline Ko reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
901 NEVIN
Richmond, CA 94801
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
Hospitalist
1601 YGNACIO VALLEY RD
Walnut Creek, CA 94598
  • Reassigned Medicare billing, California enrollment
  • 810 clinicians in this Medicare group
Podiatrist
3700 SUNSET LN STE 1
Antioch, CA 94509
  • Reassigned Medicare billing, California enrollment
  • 13 clinicians in this Medicare group
Health Maintenance Organization
9100 ROSEDALE HWY
Bakersfield, CA 93312
  • Reassigned Medicare billing, California enrollment
  • 5,228 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

Physician Assistant
3600 BROADWAY STE 17
OAKLAND, CA 94611

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 Caroline Ko's NPI number?

The NPI number for Caroline Ko is 1588126288. It was assigned to this individual provider in the NPPES registry on April 2, 2019.

Where is Caroline Ko located?

Caroline Ko practices at 3600 Broadway Ste 17, Oakland, CA 94611. The listed phone number is (510) 752-1155.

What is Caroline Ko's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Caroline Ko enrolled in Medicare?

Yes. Caroline 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.

Which organizations bill Medicare for Caroline Ko's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caroline Ko reassigns Medicare benefits to 4 organizations: Permanente Medical Group Inc (Richmond, CA), John Muir Trauma Physicians Billing Service (Walnut Creek, CA), Sun Healthcare And Surgery Group Inc (Antioch, CA) and Southern California Permanente Medical Group (Bakersfield, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Caroline Ko's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Caroline Ko was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.