DR. KISOON CHO M.D.
NPI 1649493727
Specialist in Lynnwood, WA

Active since April 10, 2007Opted out of Medicare · through Sep 11, 2027
19221 36TH AVE W, SUITE 210, LYNNWOOD, WA 98036(425) 576-9272(425) 576-0894 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kisoon Cho M.d. NPPES

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

DR. KISOON CHO M.D. (NPI 1649493727) is an individual specialist in Lynnwood, Washington, licensed in Washington (MD00029288) and active in the NPI registry since April 2007. She has opted out of Medicare through September 11, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1649493727
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameDR. KISOON CHOCredential: M.D.
Location Address19221 36TH AVE W, SUITE 210Lynnwood, WA 98036-5796
Mailing Address19221 36th Ave W, Suite 210Lynnwood, WA 98036-5796 · (425) 576-9272 · Fax (425) 576-0894
Fax(425) 576-0894
Sole ProprietorNo
Enumeration DateApril 10, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1649493727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in WA · MD00029288
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
19221 36TH AVE W, Lynnwood, WA 98036

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. Kisoon Cho M.d. 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 September 11, 2015 through September 11, 2027.

Opt-Out Effective DateSeptember 11, 2015
Opt-Out In Effect ThroughSeptember 11, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 6

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

Occupational Therapist
19221 36TH AVE W, SUITE 101
LYNNWOOD, WA 98036
Psychologist (Counseling)
19221 36TH AVE W, SUITE 207
LYNNWOOD, WA 98036
Occupational Therapist
19221 36TH AVE W, SUITE 101
LYNNWOOD, WA 98036
Naturopath
19221 36TH AVE W, SUITE 201
LYNNWOOD, WA 98036
Counselor (Mental Health)
19221 36TH AVE W, SUITE 208
LYNNWOOD, WA 98036
Occupational Therapist
19221 36TH AVE W, STE. 101
LYNNWOOD, WA 98036

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 Kisoon Cho's NPI number?

The NPI number for Kisoon Cho is 1649493727. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Where is Kisoon Cho located?

Kisoon Cho practices at 19221 36th Ave W Suite 210, Lynnwood, WA 98036. The listed phone number is (425) 576-9272.

What is Kisoon Cho's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Kisoon Cho enrolled in Medicare?

No. Kisoon Cho has opted out of Medicare through September 11, 2027. 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.

When was this NPI record last updated?

The NPPES record for Kisoon Cho 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.