EZRA YUJIN KOH MD
NPI 1639669872
Surgery - Vascular Surgery in Houston, TX

Q: What is Ezra Koh's NPI number?

The NPI number for Ezra Koh is 1639669872. It was assigned to this individual provider in the NPPES registry on May 14, 2018.

Q: What is Ezra Koh's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Q: When was this NPI record last updated?

The NPPES record for Ezra Koh was last updated on July 15, 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.

Active since May 14, 2018PECOS EnrolledAccepts Medicare Assignment

6400 FANNIN ST STE 2850, HOUSTON, TX 77030(713) 486-5100(713) 512-7200 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 5, 2023, May 14, 2018 (2 updates tracked since 2018).

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About Ezra Yujin Koh Md NPPES

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

EZRA YUJIN KOH MD (NPI 1639669872) is an individual vascular surgery provider in Houston, Texas, licensed in Texas (V6976) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Baptist Beaumont Hospital, and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1639669872

Entity TypeIndividualMale

Primary Taxonomy2086S0129X

Provider Legal NameEZRA YUJIN KOHCredential: MD

Location Address6400 FANNIN ST STE 2850Houston, TX 77030-1540

Mailing Address6400 Fannin St Ste 2850Houston, TX 77030-1540 · (713) 486-5100 · Fax (713) 512-7200

Phone(713) 486-5100

Fax(713) 512-7200

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMay 14, 2018

Last NPPES UpdateJuly 15, 20252 updates tracked since enumeration

NPPES CertifiedJuly 15, 2025

✔ NPI 1639669872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

License✔ Licensed in TX · V6976

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Also ListedSurgeryTaxonomy 208600000X · License V6976 (TX)

Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X · License V6976 (TX)

6400 FANNIN ST STE 2850, Houston, TX 77030

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Secondary Practice Location 1

Location 17200 Cambridge StHouston, TX 77030-4202 · Phone (713) 798-2400

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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

Ezra Yujin Koh Md 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 ID8921514761

PECOS Enrollment IDI20250718004139

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Beaumont Hospital

Acute Care Hospitals · Beaumont, TX

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450346

Location3080 College StreetBeaumont, TX 77701 · Jefferson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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

$90.40 typical visit price

range $58.24 – $176.98

Typical copayment $22.60 (range $14.56 – $44.24)

Most-billed visit code 99203

Established Patient

$72.62 typical visit price

range $18.60 – $143.93

Typical copayment $18.15 (range $4.65 – $35.98)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 16

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

DR. JASON B STORCH MD

Student in an Organized Health Care Education/Training Program