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

Theodore Koh, MD

Individual provider Gastroenterology Physician · NPI 1114931037

Theodore Koh, MD is a Gastroenterology in Camillus, New York. Graduated from Harvard Medical School in 1990, 36 years ago. Practices with Associated Gastroenterologists of Central New York PC, a 14-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
36
Trained at
Harvard Medical School
Licensed in
NY
In the registry since
2006
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

260 Township Blvd Ste 20
Camillus, NY 13031-1674
Phone: (315) 708-0091
Fax: (315) 708-0194
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 226613 (NY)

Record details

NPI number1114931037
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 28, 2006
Last updated in NPPESJune 17, 2016
Mailing address260 Township Blvd, Ste 20, Camillus, NY 13031-1674

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Medical schoolHARVARD MEDICAL SCHOOL
Graduated 1990 (36 years in practice)
Group practice Associated Gastroenterologists Of Central New York Pc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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