MR. MICHAEL KIM KO M.D.
NPI 1821127804
Specialist in Greenwood, MS

Active since March 05, 2007PECOS Enrolled
1401 RIVER RD, GREENWOOD, MS 38930(662) 459-7000 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Michael Kim Ko M.d. NPPES

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

MR. MICHAEL KIM KO M.D. (NPI 1821127804) is an individual specialist in Greenwood, Mississippi, licensed in Mississippi (17150) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821127804
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMR. MICHAEL KIM KOCredential: M.D.
Location Address1401 RIVER RDGreenwood, MS 38930-4030
Mailing AddressPo Box 10117Greenwood, MS 38930-0117 · (662) 455-9595
Sole ProprietorYes
Enumeration DateMarch 5, 2007
Last NPPES UpdateJuly 9, 2007
NPI 1821127804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in MS · 17150
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.

1401 RIVER RD, Greenwood, MS 38930

Other Identifiers 1

Medicare UPINH14603MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Michael Kim Ko M.d. 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.

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.

Anesthesiology
1401 RIVER RD, ANESTHESIA DEPARTMENT
GREENWOOD, MS 38930
Anesthesiology
1401 RIVER RD, ANESTHESIA DEPT
GREENWOOD, MS 38930
Internal Medicine
1401 RIVER RD, ATTN CLINIC ADMINISTRATION
GREENWOOD, MS 38930
Nurse Practitioner
1401 RIVER RD
GREENWOOD, MS 38930
Psychiatric Unit
1401 RIVER RD
GREENWOOD, MS 38930
Skilled Nursing Facility
1401 RIVER RD
GREENWOOD, MS 38930
Radiology (Radiation Oncology)
1401 RIVER RD
GREENWOOD, MS 38930
Long Term Care Hospital
1401 RIVER RD, 2ND FLOOR
GREENWOOD, MS 38930

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821127804, enumerated as an "individual" on March 05, 2007.

The provider is located at 1401 RIVER RD GREENWOOD, MS 38930 and the phone number is (662) 459-7000.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.