Ethan S. Ko, DO
NPI 1992955058ActiveIndividual· Internal Medicine, Nephrology· Fredericksburg, VA
Internal Medicine, Nephrology (DO) in Fredericksburg, Virginia, licensed in VA and MN, with an NPI issued in September 2008. Enrolled in Medicare as practitioner - internal medicine.
Overview
| NPI | 1992955058 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | Sep 25, 2008 |
| Last updated in NPPES | Sep 13, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Nephrology Primary | 207RN0300X | 010220875 | VA |
| Internal Medicine | 207R00000X | 54475 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (DC) |
|---|
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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