Look up the most recent NPI and PECOS records

Andree Hermes Koop

Internal Medicine

Allopathic & Osteopathic Physicians

4500 San Pablo Rd S, Jacksonville, FL 32224

(904) 953-2000

PECOS Enrollment

This provider is enrolled in PECOS as ANDREE KOOP.

Based on the most recent information from CMS, provider Andree Hermes Koop is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1205213360
Provider Type
Individual
Full Name
Koop, Andree Hermes
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
4/28/2015
Last Updated
10/29/2025

Contact Information

Practice Location

4500 San Pablo Rd S, Jacksonville, FL 32224

(904) 953-2000

Unlisted Fax

Mailing Location

4500 San Pablo Rd S, Jacksonville, FL 32224-1865

(904) 953-2000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207RG0100X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 75502 Arizona
Code 207RG0100X	Description Internal Medicine Allopathic & Osteopathic Physicians	License ME129532 Florida
Code 207RG0100X	Description Internal Medicine Allopathic & Osteopathic Physicians	License 72163 Minnesota

Andree Hermes Koop

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Palmer, William

Rosser, Barry

Chase, Robert Christopher

Sulbaran Nava, Marianny Nazareth

Chan, Johanna Leigh

Kinnucan, Jami Ann Rothe

Gomez, Victoria

Keaveny, Andrew

Woodward, Timothy

Ghoz, Hassan