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DERRICK KOO MD
NPI 1902984495
Radiology - Radiation Oncology in Roseville, CA

Active since November 01, 2006PECOS Enrolled
504 GIBSON DR, ROSEVILLE, CA 95678(916) 771-2871(916) 771-2841 Get Directions Write a Review

NPPES record last updated: December 13, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Derrick Koo Md NPPES

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

DERRICK KOO MD (NPI 1902984495) is an individual radiation oncology provider in Roseville, California, licensed in California (A86734) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902984495
Entity TypeIndividualMale
Primary Taxonomy2085R0001X
Provider Legal NameDERRICK KOOCredential: MD
Location Address504 GIBSON DRRoseville, CA 95678-5799
Mailing Address1800 Harrison St Fl 7Oakland, CA 94612-3466 · (510) 625-6262
Phone(916) 771-2871
Fax(916) 771-2841
Sole ProprietorNo
Enumeration DateNovember 1, 2006
Last NPPES UpdateDecember 13, 2021
✔ NPI 1902984495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
License✔ Licensed in CA · A86734
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
504 GIBSON DR, Roseville, CA 95678
Open in Google Maps ↗

Other Identifiers 1

Medicaid00A867340CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Derrick Koo Md 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 95678 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
$180.85 typical visit price
range $60.44 – $180.85
Typical copayment $45.21 (range $15.11 – $45.21)
Most-billed visit code 99205
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NIMA KEVIN HARANDI MD
Radiology (Radiation Oncology)
504 GIBSON DR
ROSEVILLE, CA 95678
Placer County (916) 771-2871
SHAWNA SUNGAE CHRISMAN NP,RN,MS,ACNP
Nurse Practitioner
504 GIBSON DR
ROSEVILLE, CA 95678
Placer County (916) 771-2871
ALLAN CHEN M.D.
Radiology (Radiation Oncology)
504 GIBSON DR
ROSEVILLE, CA 95678
Placer County (916) 771-2871

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 Derrick Koo's NPI number?

The NPI number for Derrick Koo is 1902984495. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Derrick Koo located?

Derrick Koo practices at 504 Gibson Dr, Roseville, CA 95678. The listed phone number is (916) 771-2871.

What is Derrick Koo's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Derrick Koo enrolled in Medicare?

Yes. Derrick Koo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Derrick Koo was last updated on December 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.