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BENJAMIN DAVID KOA
NPI 1902556194
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since March 28, 2022PECOS Enrolled
111 S 11TH ST STE 8290, PHILADELPHIA, PA 19107(215) 955-2370(215) 955-0677 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Benjamin David Koa NPPES

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

BENJAMIN DAVID KOA (NPI 1902556194) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902556194
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBENJAMIN DAVID KOA
Location Address111 S 11TH ST STE 8290Philadelphia, PA 19107-4824
Mailing Address111 S 11th St Ste 8290Philadelphia, PA 19107-4824 · (215) 955-2370 · Fax (215) 955-0677
Phone(215) 955-2370
Fax(215) 955-0677
Sole ProprietorNo
Enumeration DateMarch 28, 2022
NPPES CertifiedMarch 28, 2022
✔ NPI 1902556194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

111 S 11TH ST STE 8290, Philadelphia, PA 19107
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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)

Benjamin David Koa 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.

NADEEM H KAZI
Anesthesiology
111 S 11TH ST STE 8290
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-2370
DR. HARSH TUSHAR PATEL MD
Anesthesiology
111 S 11TH ST STE 8290
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-2370
SHANNON HALEY MD
Student in an Organized Health Care Education/Training Program
111 S 11TH ST STE 8290
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-2370
DR. INDRA NEIL MUKHERJEE DO, PHD
Student in an Organized Health Care Education/Training Program
111 S 11TH ST STE 8290
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-2370
DR. JORDAN MARIE STEFKO MD
Student in an Organized Health Care Education/Training Program
111 S 11TH ST STE 8290
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-2370
MICHAEL J DIMUZIO
Student in an Organized Health Care Education/Training Program
111 S 11TH ST STE 8290
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-2370
ANGELICA PINNINTI MD
Anesthesiology
111 S 11TH ST STE 8290
PHILADELPHIA, PA 19107
Philadelphia County (215) 855-2370
DR. JEFFREY JON MOJICA DO
Anesthesiology
111 S 11TH ST STE 8290
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6161

Frequently Asked Questions

What is Benjamin Koa's NPI number?

The NPI number assigned to this healthcare provider is 1902556194, enumerated as an "individual" on March 28, 2022.

Where is the provider located?

The provider is located at 111 S 11TH ST STE 8290 PHILADELPHIA, PA 19107 and the phone number is (215) 955-2370.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.