DR. BON CHUL KOO (M.D.) – Diagnostic Radiology Physician, NPI 1205829280

Diagnostic Radiology Physician

DR. BON CHUL KOO (M.D.) is a healthcare provider. based in Cleveland, Ohio. specializing in Diagnostic Radiology Physician. They hold the professional credentials M.D.. They hold a License No. 35043277 (OH). The NPI Number for DR. BON CHUL KOO (M.D.) is 1205829280

Main info

Male

56 Years Of Experience

Accepts Medicare Assignment

Name

DR. BON CHUL KOO (M.D.)

NPI

1205829280

Phone

(216) 831-9786

Address

4853 GALAXY PKWY

Enumeration Date

25 August 2005

Last Update Date

27 June 2014

Doctor Profile

Medical School Name

OTHER

Secondary Phone

4409448887

Graduation Year

1970 (56 years ago)

PAC ID

0345145439

Group Practice PAC ID

3577468636

Professional Enrollment ID

I20041202000113

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience54

Completeness75

Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for DR. BON CHUL KOO (M.D.)

4853 GALAXY PKWY
SUITE I
CLEVELAND, OH 441285973
Phone: (216) 831-9786
Fax: (216) 831-2425
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)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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

Insurance plans in this area (ZIP 44128)

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Provider's Procedures

DR. BON CHUL KOO (M.D.) performs procedures in Diagnostic Radiology Physician. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
DIAGNOSTIC RADIOLOGY	OH	93971	Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	31	31

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: 3577468636View full group profile

Name	Specialty	State
DAVID A. STEIGER (M.D.)	Diagnostic Radiology	OH
DAVID J. HOREJS (M.D.)	-	OH
MATTHEW A PASSALACQUA (DO)	-	OH
ANTHONY MICHAEL ESPARAZ (M.D.)	-	MI

Reviews

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Frequently asked questions

What is the standard ID for DR. BON CHUL KOO (M.D.) in the U.S.?

In the U.S., DR. BON CHUL KOO (M.D.) is identified by NPI 1205829280.

Quick check: is DR. BON CHUL KOO (M.D.) active?

Public NPPES data shows DR. BON CHUL KOO (M.D.) with an active NPI status right now.

Which specialty label fits DR. BON CHUL KOO (M.D.)?

NPPES ties DR. BON CHUL KOO (M.D.) to Diagnostic Radiology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.

Is DR. BON CHUL KOO (M.D.) tied to Cleveland, Ohio?

If you are local to Cleveland, Ohio, DR. BON CHUL KOO (M.D.) may be relevant to your search.

Why is information missing for DR. BON CHUL KOO (M.D.)?

Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.