DR. MI KYUNG KO (M.D.) – Radiation Oncology Physician, NPI 1184711954
Radiation Oncology Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
677 RADIATION ONCOLOGY in CA
Provider Addresses for DR. MI KYUNG KO (M.D.)
11511 SHADOW CREEK PKWY
PEARLAND, TX 775847298
Phone: (713) 442-0000
Type: Mailing
PO BOX 8256
SPRING, TX 773878256
Phone: (713) 467-5700
Fax: (713) 467-5702
Type: Mailing
18300 Roscoe Blvd
Department of Radiation Oncology
Northridge, CA 913254105
Phone: (818) 885-5331
Fax: (310) 943-2703
Type: Location
Northridge Hospital Medical Center, 18300, Roscoe Boulevard, Los Angeles, Los Angeles County, California, 91328, United States
DEPARTMENT OF RADIATION ONCOLOGY
NORTHRIDGE, CA 913254105
Phone: (818) 885-5331
Fax: (310) 943-2703
Type: Location
2727 W HOLCOMBE BLVD
HOUSTON, TX 770251669
Phone: (713) 442-0000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $73.
Total Amount is formed as General ($73) + Research ($0) + Ownership ($0) = $73.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Coherus Biosciences Inc. ($22).
Total Amount
$73
General + Research + Ownership
Payments
4
Total payment records
General Amount
$73
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Coherus Biosciences Inc. | $22 |
| Lilly USA, LLC | $18 |
| Merck Sharp & Dohme LLC | $17 |
| Mirati Therapeutics, Inc. | $17 |
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: 2025-04-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140213000457 | I | Radiation Oncology | TX | TBD |
| I20230207001716 | I | Radiation Oncology | IL | TBD |
| I20240220003421 | I | Radiation Oncology | NH | TBD |
| I20250410002781 | I | Radiation Oncology | KY | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 77584)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Family Practice | IN | |
| Cardiovascular Disease (Cardiology) | KY | |
| Emergency Medicine | OH | |
| General Surgery | KY | |
| Internal Medicine, Hematology/Oncology | KY | |
| P S Y C H I A T R Y | TN | |
| Orthopedic Surgery | KY | |
| P S Y C H I A T R Y | KY | |
| Nurse Practitioner | KY | |
| Family Practice | FL |
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