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ENOCH C KOO PA-C
NPI 1780475772
Physician Assistant in Houston, TX

Active since May 16, 2025PECOS EnrolledAccepts Medicare Assignment
1101 BATES AVE, HOUSTON, TX 77030(818) 319-6498 Get Directions Write a Review

NPPES record last updated: July 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 20, 2025, May 16, 2025 (2 updates tracked since 2025).

About Enoch C Koo Pa-c NPPES

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

ENOCH C KOO PA-C (NPI 1780475772) is an individual physician assistant in Houston, Texas, licensed in Texas (PA19375) and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1780475772
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameENOCH C KOOCredential: PA-C
Location Address1101 BATES AVEHouston, TX 77030-2607
Mailing Address11731 Flamingo DrGarden Grove, CA 92841-2661
Phone(818) 319-6498
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateMay 16, 2025
Last NPPES UpdateJuly 21, 20252 updates tracked since enumeration
NPPES CertifiedJuly 21, 2025
✔ NPI 1780475772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA19375
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1101 BATES AVE, Houston, TX 77030
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Secondary Practice Locations 2

Location 111731 Flamingo DrGarden Grove, CA 92841-2661 · Phone (818) 319-6498
Location 26720 Bertner AveHouston, TX 77030-2604 · Phone (832) 355-2666

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

Enoch C Koo Pa-c 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 ID143737429
PECOS Enrollment IDI20250730002654
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.

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.

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.

DR. JOHN MICHAEL DUNCAN JR. M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1101 BATES AVE, STE P115
HOUSTON, TX 77030
Harris County (832) 355-4900
ALMA AGUILAR
Pharmacist
1101 BATES AVE
HOUSTON, TX 77030
Harris County (832) 355-1000
ALICIA DIAZ NP
Nurse Practitioner (Primary Care)
1101 BATES AVE
HOUSTON, TX 77030
Harris County (832) 355-1000
DR. IGOR DARKO GREGORIC M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1101 BATES AVE, SUITE P-514
HOUSTON, TX 77030
Harris County (832) 355-4900
CECILIO GUTIERREZ DPT
Physical Therapist
1101 BATES AVE
HOUSTON, TX 77030
Harris County (832) 355-1000
DAVID A. OTT M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1101 BATES AVE, P115
HOUSTON, TX 77030
Harris County (832) 355-4900
JOSEPH S. COSELLI MD
Surgery
1101 BATES AVE
HOUSTON, TX 77030
Harris County (832) 355-9910
ALI OMRANIAN M.D.
Internal Medicine (Critical Care Medicine)
1101 BATES AVE
HOUSTON, TX 77030
Harris County (832) 355-1000

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 Enoch Koo's NPI number?

The NPI number for Enoch Koo is 1780475772. It was assigned to this individual provider in the NPPES registry on May 16, 2025.

Where is Enoch Koo located?

Enoch Koo practices at 1101 Bates Ave, Houston, TX 77030. The listed phone number is (818) 319-6498.

What is Enoch Koo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Enoch Koo enrolled in Medicare?

Yes. Enoch Koo 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.

When was this NPI record last updated?

The NPPES record for Enoch Koo was last updated on July 21, 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.