JONATHAN KOE – Surgical Physician Assistant, NPI 1053177147

JONATHAN KOE is a healthcare provider. based in Alhambra, California. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA64307 (CA). The NPI Number for JONATHAN KOE is 1053177147

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
JONATHAN KOE
NPI
1053177147
Phone
Not provided
Address
707 S GARFIELD AVE FL 2
Enumeration Date
26 February 2024
Last Update Date
20 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6266561260
Graduation Year
2023 (3 years ago)
PAC ID
7618409665
Group Practice PAC ID
6204812670
Professional Enrollment ID
I20241015002007
Address ID
CA918015861AL707XXAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness85
Years active:2State licenses:1Digital endpointsOther names

10,570 PHYSICIAN ASSISTANT in CA

Provider Addresses for JONATHAN KOE

  • 707 S GARFIELD AVE FL 2

    ALHAMBRA, CA 918015859

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $192.

Total Amount is formed as General ($192) + Research ($0) + Ownership ($0) = $192.

Last reported payment date: 2024-09-23 • Largest payer in this snapshot: Stryker Corporation ($175).

Total Amount

$192

General + Research + Ownership

Payments

2

Total payment records

General Amount

$192

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-10-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241015002007IPhysician AssistantCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 91801)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204812670View full group profile
NameSpecialtyState
Orthopedic SurgeryCA
Physician AssistantCA
Orthopedic SurgeryCA
Orthopedic SurgeryNY
-CA
Orthopedic SurgeryCA
Orthopedic Surgery, Hand SurgeryCA
-CA
Physician AssistantCA
Physician AssistantCA

Reviews

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Frequently asked questions

How do I look up JONATHAN KOE by NPI?
Use NPI 1053177147 when you need to reference JONATHAN KOE in forms, claims, or directories.
Does this profile mean JONATHAN KOE is currently active?
Yes — JONATHAN KOE appears active in the national provider directory.
What does JONATHAN KOE treat or focus on?
Patients typically see JONATHAN KOE under the specialty Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for JONATHAN KOE?
The page summarizes Alhambra, California for JONATHAN KOE; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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