Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Fred Ko, MD

Individual provider Geriatric Medicine (Internal Medicine) Physician · NPI 1558560110

Dr. Fred Ko, MD is an Internal Medicine in New York, New York. Graduated from George Washington University School of Medicine in 2004, 22 years ago. Practices with Icahn School of Medicine at Mount Sinai, a 2,791-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New York and Vermont.

Years since qualifying
22
Trained at
George Washington University School of Medicine
Licensed in
NY, VT
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1 Gustave L Levy Pl
New York, NY 10029-6504
Phone: (212) 241-4141
Fax: (212) 426-5108
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 111 Colchester Ave, Burlington, VT 05401-1473 — (802) 847-0000
  • 353 Blair Park Rd, Williston, VT 05495-7530 — (802) 847-1470

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X · Licence 2569371 (NY)
Geriatric Medicine (Internal Medicine) Physician Taxonomy 207RG0300X · Licence 042.0019234 (VT)

Record details

NPI number1558560110
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 13, 2007
Last updated in NPPESJanuary 29, 2026
Certification dateJanuary 29, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesGERIATRIC MEDICINE
Medical schoolGEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Icahn School Of Medicine At Mount Sinai — 2791 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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