DR. HAILEY KOH MD
NPI 1861286213
Student in an Organized Health Care Education/Training Program in Providence, RI
About Dr. Hailey Koh Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. HAILEY KOH MD (NPI 1861286213) is an individual student in an organized health care education/training program in Providence, Rhode Island and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Hailey Koh Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
PROVIDENCE, RI 02903
PROVIDENCE, RI 02903
PROVIDENCE, RI 02903
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 Hailey Koh's NPI number?
The NPI number for Hailey Koh is 1861286213. It was assigned to this individual provider in the NPPES registry on April 8, 2025.
Where is Hailey Koh located?
Hailey Koh practices at 593 Eddy St, Providence, RI 02903. The listed phone number is (401) 444-4000.
What is Hailey Koh's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Hailey Koh enrolled in Medicare?
Yes. Hailey Koh is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Hailey Koh was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Hailey Koh, MD · NPI 1861286213
Student in an Organized Health Care Education/Training Program provider in Providence, Rhode Island. Individual provider, active in the CMS NPPES registry since April 8, 2025.
## Identity
- **NPI:** 1861286213 (Entity type: Individual)
- **Enumerated:** April 8, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 593 EDDY ST, Providence, RI 02903-4923
- **Phone:** (401) 444-4000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 18, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1861286213) · Data from the CMS NPPES public registry.