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

Siulam Ciel Koo, DO

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1932736733

Siulam Ciel Koo, DO is a Physical Medicine and Rehabilitation in Boston, Massachusetts. Qualified in 2020, 6 years ago. Practices with Massachusetts General Physicians Organization Inc, a 3,484-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
6
Licensed in
MA
In the registry since
2020
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

55 Fruit St
Boston, MA 02114-2696
Phone: (617) 724-3718
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 1023600 (MA)

Record details

NPI number1932736733
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 24, 2020
Last updated in NPPESJune 10, 2025
Certification dateJune 10, 2025
Mailing address55 Fruit Ave, Boston, MA 02114-2696

Medicare enrollment

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

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Massachusetts General Physicians Organization Inc — 3484 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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