Fannie Tan Koa, LIC.AC., DIPL.OM
NPI 1588925077ActiveIndividual· Acupuncturist· Somerville, MA
Acupuncturist (LIC.AC., DIPL.OM) in Somerville, Massachusetts, licensed in MA and NH, with an NPI issued in May 2012.
Overview
| NPI | 1588925077 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LIC.AC., DIPL.OM |
| Sole proprietor | Yes |
| NPI issued | May 31, 2012 |
| Last updated in NPPES | Feb 15, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Acupuncturist Primary | 171100000X | 253925 | MA |
| Acupuncturist | 171100000X | 205 | NH |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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