JENNY KOO M.D.
NPI 1851719413
Pediatrics in San Diego, CA

Q: What is Jenny Koo's NPI number?

The NPI number for Jenny Koo is 1851719413. It was assigned to this individual provider in the NPPES registry on April 1, 2014.

Q: What is Jenny Koo's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Jenny Koo was last updated on May 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 01, 2014PECOS Enrolled

3003 HEALTH CENTER DR, SAN DIEGO, CA 92123(858) 939-4185(858) 939-4972 Get Directions Write a Review

NPPES record last updated: May 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 20, 2021, Apr 14, 2017 (2 updates tracked since 2017).

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About Jenny Koo M.d. NPPES

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

JENNY KOO M.D. (NPI 1851719413) is an individual pediatrics provider in San Diego, California, licensed in California (A139737) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851719413

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameJENNY KOOCredential: M.D.

Location Address3003 HEALTH CENTER DRSan Diego, CA 92123-2700

Mailing Address8555 Aero Dr Ste 340San Diego, CA 92123-1740 · (858) 939-4185 · Fax (858) 939-4972

Phone(858) 939-4185

Fax(858) 939-4972

Sole ProprietorNo

Enumeration DateApril 1, 2014

Last NPPES UpdateMay 20, 20212 updates tracked since enumeration

NPPES CertifiedMarch 29, 2021

✔ NPI 1851719413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A139737

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedPediatrics · Neonatal-Perinatal MedicineTaxonomy 2080N0001X · License A139737 (CA)

3003 HEALTH CENTER DR, San Diego, CA 92123

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jenny Koo 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92123 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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.

AMY CROWLEY

Registered Nurse (Neonatal Intensive Care)