Charlotte Haeran Koo, MD
NPI 1093158297ActiveIndividual· Hospitalist· Glenview, IL
Hospitalist (MD) with Banner Hospital Based Physicians Arizona LLC and 1 other group, practicing in Glenview, Illinois. 210 Medicare patients in 2024, $44,742 paid; nearly all of their 449 Part D prescriptions were generic (92%). Lists Banner - University Medical Center Phoenix and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1093158297 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Apr 8, 2013 |
| Last updated in NPPES | Jun 25, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Hospitalist Primary | 208M00000X | 036139709 | IL |
| Internal Medicine | 207R00000X | 036139709 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Hospitalist (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 210 |
|---|---|
| Services billed | 552 across 13 procedure codes |
| Paid by Medicare | $44,742 |
Part D prescriptions in 2024
| Prescriptions (claims) | 449 · 465 30-day fills |
|---|---|
| Patients | 193 |
| Total drug cost | $17,301 |
| Generic share | 92% of claims |
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Hospitalist |
| Secondary specialties | Internal Medicine |
Medical groups
- Banner Hospital Based Physicians Arizona LLCGlendale, AZ · 637 clinicians
- Banner - University Hospital Based Physicians LLCPhoenix, AZ · 339 clinicians
Hospital affiliations
- Banner - University Medical Center PhoenixPhoenix, AZ
- Banner Baywood Medical CenterMesa, AZ
- Banner Gateway Medical CenterGilbert, AZ
- Banner Heart HospitalMesa, AZ
- Banner Ironwood Medical CenterQueen Creek, AZ
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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