ANDREW LEE-WAH KOO MD
NPI 1730281668
Psychiatry & Neurology - Child & Adolescent Psychiatry in Lebanon, NH

Active since September 01, 2006PECOS Enrolled
1 MEDICAL CENTER DR, LEBANON, NH 03756(603) 650-5000 Get Directions Write a Review

NPPES record last updated: August 18, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 18, 2023, May 5, 2022 (2 updates tracked since 2022).

About Andrew Lee-wah Koo Md NPPES

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

ANDREW LEE-WAH KOO MD (NPI 1730281668) is an individual child & adolescent psychiatry provider in Lebanon, New Hampshire, licensed in New Hampshire (14590) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in White River Junction.

NPPES Registry Identity

NPI1730281668
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameANDREW LEE-WAH KOOCredential: MD
Location Address1 MEDICAL CENTER DRLebanon, NH 03756-0001
Mailing Address215 N Main StWhite River Junction, VT 05009-0001
Sole ProprietorNo
Enumeration DateSeptember 1, 2006
Last NPPES UpdateAugust 18, 20232 updates tracked since enumeration
NPPES CertifiedAugust 18, 2023
✔ NPI 1730281668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Licenses✔ Licensed in NH · 14590✔ Licensed in VT · 042-0011961
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 042-0011961 (VT)
1 MEDICAL CENTER DR, Lebanon, NH 03756

Secondary Practice Location 1

Location 1215 N Main StWhite River Junction, VT 05009-0001 · Phone (802) 295-9363

Other Identifiers 1

Medicaid1017794VT

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew Lee-wah Koo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

Medicare enrollment records show Andrew Koo reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
1 MEDICAL CENTER DR
Lebanon, NH 03756
  • Reassigned Medicare billing, New Hampshire enrollment
  • 2,620 clinicians in this Medicare group
Internal Medicine
ONE MEDICAL CENTER DR
Lebanon, NH 03756
  • Reassigned Medicare billing, New Hampshire enrollment
  • 2,999 clinicians in this Medicare group
Family Medicine
130 FISHER RD
Berlin, VT 05602
  • Reassigned Medicare billing, Vermont enrollment
  • Also billed through NPI 1831374362 (Vermont)
  • 562 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 20

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

Nurse Practitioner (Family)
1 MEDICAL CENTER DR, DHMC DEPARTMENT OF OCCUPATION MEDICINE
LEBANON, NH 03756
Pharmacist (Oncology)
1 MEDICAL CENTER DR
LEBANON, NH 03756
Internal Medicine
1 MEDICAL CENTER DR, DHMC SECTION OF HOSPITAL MEDICINE
LEBANON, NH 03756
Otolaryngology
1 MEDICAL CENTER DR, OTOLARYNGOLOGY
LEBANON, NH 03756
Colon & Rectal Surgery
1 MEDICAL CENTER DR, COLON & RECTAL SURGERY DEPARTMENT
LEBANON, NH 03756
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER DR
LEBANON, NH 03756
Internal Medicine (Cardiovascular Disease)
1 MEDICAL CENTER DR
LEBANON, NH 03756
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER DR
LEBANON, NH 03756

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 Andrew Koo's NPI number?

The NPI number for Andrew Koo is 1730281668. It was assigned to this individual provider in the NPPES registry on September 1, 2006.

Where is Andrew Koo located?

Andrew Koo practices at 1 Medical Center Dr, Lebanon, NH 03756. The listed phone number is (603) 650-5000.

What is Andrew Koo's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Andrew Koo enrolled in Medicare?

Yes. Andrew Koo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Andrew Koo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Koo reassigns Medicare benefits to 3 organizations: Mary Hitchcock Memorial Hospital (Lebanon, NH), Dartmouth-Hitchcock Clinic (Lebanon, NH) and Central Vermont Medical Center Inc (Berlin, VT). 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 Andrew Koo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Koo accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Andrew Koo 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 Andrew Koo was last updated on August 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.