DR. KEVIN KO (M.D.) – Family Medicine Physician, NPI 1356633572

DR. KEVIN KO (M.D.) is a healthcare provider. based in Dallas, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 133254 (CA). The NPI Number for DR. KEVIN KO (M.D.) is 1356633572

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEVIN KO (M.D.)
NPI
1356633572
Phone
Not provided
Address
PO BOX 660599
Enumeration Date
5 May 2011
Last Update Date
2 April 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3236443880
Graduation Year
2011 (15 years ago)
PAC ID
7012239775
Group Practice PAC ID
8729997390
Professional Enrollment ID
I20200723002108
Address ID
CA900275516LO1530XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:15State licenses:2Digital endpointsOther names

8,706 FAMILY PRACTICE in TX

Provider Addresses for DR. KEVIN KO (M.D.)

  • PO BOX 660599

    DALLAS, TX 752660599

    Phone:

    Type: Mailing

  • 5201 HARRY HINES BLVD

    GRADUATE MEDICAL EDUCATION

    DALLAS, TX 752357708

    Phone: (214) 590-8058

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $814.

Total Amount is formed as General ($814) + Research ($0) + Ownership ($0) = $814.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Abbott Laboratories ($321).

Total Amount

$814

General + Research + Ownership

Payments

12

Total payment records

General Amount

$814

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2015-07-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20141208001143IFamily PracticeTXTBD
I20150720002631IFamily PracticeCATBD

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 75266)

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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: 8729997390View full group profile
NameSpecialtyState
Nurse PractitionerCA
Family PracticeCA
Internal MedicineCA
P S Y C H I A T R YCA
Family PracticeCA
Nurse PractitionerCA
Nurse PractitionerCA
Physician AssistantCA
Family PracticeCA
P S Y C H I A T R YCA

Reviews

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Frequently asked questions

Can I verify DR. KEVIN KO (M.D.) with an NPI only?
You can start verification with NPI 1356633572 for DR. KEVIN KO (M.D.), then check state licensing separately.
Is DR. KEVIN KO (M.D.) still practicing?
DR. KEVIN KO (M.D.) is currently listed as active in the public NPI registry.
What is DR. KEVIN KO (M.D.)'s primary classification?
Family Medicine Physician is the headline specialty for DR. KEVIN KO (M.D.) here. Clinical services aligned with this taxonomy classification.
What address line appears for DR. KEVIN KO (M.D.)?
DR. KEVIN KO (M.D.)'s geographic hint is Dallas, Texas in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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