HYUNMO LEE KOO (MD) – Family Medicine Physician, NPI 1043292352

HYUNMO LEE KOO (MD) is a healthcare provider. based in Pearland, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. L2385 (TX). The NPI Number for HYUNMO LEE KOO (MD) is 1043292352

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
HYUNMO LEE KOO (MD)
NPI
1043292352
Phone
(713) 442-0000
Address
11511 SHADOW CREEK PKWY
Enumeration Date
14 November 2005
Last Update Date
9 June 2021

Doctor Profile

Medical School Name
TEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
Secondary Phone
7134422100
Graduation Year
1998 (28 years ago)
PAC ID
9537185665
Group Practice PAC ID
9739093527
Professional Enrollment ID
I20051018001169
Address ID
TX773656154PO2555359XX300

Contacts

Secure Messaging
hkoo1592@direct.kelsey-seybold.com
FHIR Endpoint
https://ssrx.ksnet.com/FhirProxy/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

8,705 FAMILY PRACTICE in TX

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Provider Addresses for HYUNMO LEE KOO (MD)

  • Shadow Creek Parkway, Pearland, Brazoria County, Texas, 77047-4593, United States

    PEARLAND, TX 775847298

    Phone: (713) 442-0000

    Type: Mailing

  • 59, School Street, Kezar Falls, Porter, Oxford County, Maine, 04068, United States

    PORTER, TX 773655500

    Phone: (713) 442-2100

    Type: Location

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.

This can happen when there are no reportable CMS Open Payments records.

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: 2005-10-18

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
I20051018001169IFamily PracticeTXTBD

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 77584)

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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: 9739093527View full group profile
NameSpecialtyState
-TX
-TX
Hospitalist, Internal MedicineTX
N E U R O L O G YTX
D E R M A T O L O G YTX
Critical Care (Intensivists), Internal Medicine, Pulmonary DiseaseTX
-TX
Physician AssistantTX
Family PracticeTX
Physician AssistantMA

Reviews

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Frequently asked questions

Is HYUNMO LEE KOO (MD) listed with a National Provider Identifier?
Yes — HYUNMO LEE KOO (MD) has NPI 1043292352 on file in the registry.
Active or inactive — what applies to HYUNMO LEE KOO (MD)?
You should see HYUNMO LEE KOO (MD) as active in CMS-hosted NPPES data.
What kind of doctor is HYUNMO LEE KOO (MD)?
HYUNMO LEE KOO (MD) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with HYUNMO LEE KOO (MD)?
Directory geography for HYUNMO LEE KOO (MD) centers on Pearland, Texas.
When was this NPI issued?
Enumeration for HYUNMO LEE KOO (MD) is noted as November 14, 2005 where the registry provides it.

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