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EILEEN KO
NPI 1730955584
Nurse Practitioner in Philadelphia, PA

Active since December 01, 2023PECOS Enrolled
1 CONVENTION AVE, PHILADELPHIA, PA 19104(215) 662-4000 Get Directions Write a Review

NPPES record last updated: January 31, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Eileen Ko NPPES

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

EILEEN KO (NPI 1730955584) is an individual nurse practitioner in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP028685) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730955584
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameEILEEN KO
Location Address1 CONVENTION AVEPhiladelphia, PA 19104-4311
Mailing Address1 Convention AvePhiladelphia, PA 19104-4311
Phone(215) 662-4000
Sole ProprietorNo
Enumeration DateDecember 1, 2023
Last NPPES UpdateJanuary 31, 2024
NPPES CertifiedJanuary 31, 2024
✔ NPI 1730955584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in PA · SP028685
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1 CONVENTION AVE, Philadelphia, PA 19104
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eileen Ko 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 Reassignment

Medicare enrollment records show Eileen Ko reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Penn-Medical Group
0.3 mi
Reproductive Endocrinology
3701 MARKET ST, 8TH FLOOR
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Also billed through NPI 1871981985 (Pennsylvania)
  • 3,488 clinicians in this Medicare group
NPI 1245628353 (215) 662-6100

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

TIFFANY GARDNER
Pharmacist
1 CONVENTION AVE
PHILADELPHIA, PA 19104
Philadelphia County (267) 592-2401
TRISTAN S BOYER RN
Registered Nurse (Critical Care Medicine)
1 CONVENTION AVE
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-4000
AMANDA LEE MCFALL PA-C
Physician Assistant (Medical)
1 CONVENTION AVE
PHILADELPHIA, PA 19104
Philadelphia County (302) 357-0138
MORGAN BOSAK
Pharmacist (Critical Care)
1 CONVENTION AVE
PHILADELPHIA, PA 19104
Philadelphia County (215) 327-5986
DR. SIDNEE NICHOLLS
Pharmacist
1 CONVENTION AVE
PHILADELPHIA, PA 19104
Philadelphia County (267) 862-1600
SARAH KATHERINE FIORDALISO
Registered Nurse
1 CONVENTION AVE
PHILADELPHIA, PA 19104
Philadelphia County (267) 862-3000
PATRICK MCMICHAEL
Registered Nurse (Neuroscience)
1 CONVENTION AVE
PHILADELPHIA, PA 19104
Philadelphia County (267) 250-2082
MEGAN COLLEEN FITZSIMMONS CRNP
Nurse Practitioner (Acute Care)
1 CONVENTION AVE
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-4000

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 Eileen Ko's NPI number?

The NPI number for Eileen Ko is 1730955584. It was assigned to this individual provider in the NPPES registry on December 1, 2023.

Where is Eileen Ko located?

Eileen Ko practices at 1 Convention Ave, Philadelphia, PA 19104. The listed phone number is (215) 662-4000.

What is Eileen Ko's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Eileen Ko enrolled in Medicare?

Yes. Eileen Ko is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Eileen Ko's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eileen Ko reassigns Medicare benefits to University Of Penn-Medical Group (Philadelphia, PA). The 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 Eileen 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 Eileen Ko was last updated on January 31, 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.