BENNY SP KO M.D. NPI 1912038597

NPI Information

  • NPI: 1912038597
  • Provider Name: BENNY SP KO, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • Address: 3660 GUION RD
    STE 101
    INDIANAPOLIS, IN
    ZIP 46222
  • Phone: (317) 920-7139

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NPI Details

Benny Sp Ko, M.D. is a diagnostic radiology radiology in Indianapolis, IN. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Benny Sp Ko, M.D. NPI is 1912038597. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3660 GUION RD
STE 101
INDIANAPOLIS, IN
ZIP 46222-616
Phone: (317) 920-7139
Fax: (317) 920-7229

The enumeration date for this NPI number is 3/8/2007 and was last updated on 3/15/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology01024080AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000000703094OTHERINDIANAANTHEM
2P00960535OTHERINDIANARR MEDICARE
3M40045947MEDICARE PININDIANA
4B29698MEDICARE UPIN
5100381260AMEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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