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Dr. Su Min Ko, M.D.

Interventional Pain Medicine Physician in Fairfax, VA · enumerated 2009.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1336375450

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Registry record

Entity type Individual (Type 1)
Name Dr. Su Min Ko
Credential M.D.
Sex Male
Practice address 11166 Fairfax Blvd, Suite 105, Fairfax, VA, 22030
Phone (703) 277-3360
Fax (703) 277-3370
Enumeration date Jun 3, 2009
Last updated in NPPES Feb 20, 2017

Taxonomy & licenses

208VP0014X Interventional Pain Medicine Physician Allopathic & Osteopathic Physicians · License 0101250991 (VA) Primary
208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians · License 2009001606 (MO) Secondary
2081P2900X Pain Medicine (Physical Medicine & Rehabilitation) Physician Allopathic & Osteopathic Physicians · License 2009001606 (MO) Secondary
2081P2900X Pain Medicine (Physical Medicine & Rehabilitation) Physician Allopathic & Osteopathic Physicians · License 0101250991 (VA) Secondary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
9496409 Other MO AETNA
98246 Other MO HCUSA
2009001606 Other MO MEDICAL LICENSE
000000640716 Other MO BCBS
1336375450 Medicaid MO -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Su Min Ko?
The National Provider Identifier (NPI) for Su Min Ko is 1336375450, a Type 1 (individual) record in the CMS NPPES registry.
Where does Su Min Ko practice?
The practice location on file with NPPES is in Fairfax, VA. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-02-20.