DR. MI KYUNG KO (M.D.) – Radiation Oncology Physician, NPI 1184711954

DR. MI KYUNG KO (M.D.) is a healthcare provider. based in Pearland, Texas. specializing in RADIATION ONCOLOGY. They hold the professional credentials M.D.. They hold a License No. A83307 (CA). The NPI Number for DR. MI KYUNG KO (M.D.) is 1184711954

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. MI KYUNG KO (M.D.)
NPI
1184711954
Phone
(713) 442-0000
Address
11511 SHADOW CREEK PKWY
Enumeration Date
5 October 2006
Last Update Date
9 June 2021

Doctor Profile

Medical School Name
RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Secondary Phone
2708255800
Graduation Year
2001 (25 years ago)
PAC ID
1658370788
Group Practice PAC ID
6103220330
Professional Enrollment ID
I20250410002781
Address ID
KY424311644MA900XXDRXX300

Contacts

Secure Messaging
mko34852@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
Experience71
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

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

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: 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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140213000457IRadiation OncologyTXTBD
I20230207001716IRadiation OncologyILTBD
I20240220003421IRadiation OncologyNHTBD
I20250410002781IRadiation OncologyKYTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99205New patient office or other outpatient visit, 60-74 minutes1111$0
View full utilization report →

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: 6103220330View full group profile
NameSpecialtyState
Family PracticeIN
Cardiovascular Disease (Cardiology)KY
Emergency MedicineOH
General SurgeryKY
Internal Medicine, Hematology/OncologyKY
P S Y C H I A T R YTN
Orthopedic SurgeryKY
P S Y C H I A T R YKY
Nurse PractitionerKY
Family PracticeFL

Reviews

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Frequently asked questions

Where can patients find DR. MI KYUNG KO (M.D.)'s NPI?
You can confirm DR. MI KYUNG KO (M.D.) with NPI 1184711954; it appears in the national provider directory.
Is DR. MI KYUNG KO (M.D.) currently active in the NPI registry?
CMS-published data lists DR. MI KYUNG KO (M.D.) as an active registrant.
What field does DR. MI KYUNG KO (M.D.) work in?
You can think of DR. MI KYUNG KO (M.D.) as practicing within Radiation Oncology Physician. Clinical services aligned with this taxonomy classification.
Does DR. MI KYUNG KO (M.D.) practice in Texas?
You will see Pearland, Texas on file for DR. MI KYUNG KO (M.D.) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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