NPIMap

Individual provider Active NPI

Howard Sander Koch, MD

  • Internal Medicine Physician
  • Sunrise, FL
National Provider Identifier
1003872375
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0031557 Issued in FL
Practice address
8391 W Oakland PK Blvd
Medical Multi Specialty GRP
Sunrise, FL 33351
Phone
(954) 749-1616
Fax
(954) 749-1639
NPI assigned
Apr 25, 2006
Last updated
Oct 13, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0031557 FL Primary

Addresses

Primary practice location

8391 W Oakland PK Blvd
Medical Multi Specialty GRP
Sunrise, FL 33351

Mailing address

8391 W Oakland PK Blvd
Sunrise, FL 33351
Phone (954) 749-1616

Other identifiers 1

IdentifierTypeStateIssuer
024077100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100721000705 FL Practitioner - Internal Medicine 2567364771 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Miami, LM Miller School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holy Cross Senior Services IncGroup PAC ID 4183950801, 3 clinicians

Practice addresses (Care Compare)

4725 N Federal Hwy
Fort Lauderdale, FL 33308-4603
Phone (954) 771-8000

550 SW 3Rd St
JKV Center for Healthy Living
Pompano Beach, FL 33060-6934
Phone (954) 771-8000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0031557FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Holy Cross Hospital, Inc CurrentSince Feb 1, 2011 Accepting new patients
Holy Cross Senior Services Inc CurrentSince Feb 27, 2019 Accepting new patients
Holy Cross Hospital Inc Internal Medicine CurrentSince Feb 1, 2011 Accepting new patients
Holy Cross Primary Care, Inc Internal Medicine CurrentSince Mar 8, 2021 Accepting new patients
Medical Multi Specialty GRP Internal Medicine PastSince Jul 1, 1966 Accepting new patients

Locations

1309 S Federal Hwy
#G
Ft Lauderdale, FL 33316
Phone (954) 463-4383

1000 NE 56th St
Oakland Park, FL 33334
Phone (954) 229-8608

4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005

550 SW 3rd St
Pompano Beach, FL 33060
Phone (954) 781-9704

550 SW 3rd St
Ste 100
Pompano Beach, FL 33060
Phone (954) 210-5563

8391 W Oakland Park Blvd
Sunrise, FL 33351
Phone (954) 335-6925

Interoperability endpoints

  • Direct secure messaging: hkoch2016576@direct.trinity-health.org

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Life Care Center at InverraryLauderhill, FL, CCN 106047 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Oct 1, 2010
Mar 11, 2025
John Knox Village of Pompano BeachPompano Beach, FL, CCN 105255 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Feb 1, 2021
Feb 1, 2021

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1003872375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8391 W OAKLAND PK BLVD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "33351",
            "telephone_number": "954-749-1616",
            "fax_number": "954-749-1639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8391 W OAKLAND PK BLVD",
            "address_2": "MEDICAL MULTI SPECIALTY GRP",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "33351",
            "telephone_number": "954-749-1616",
            "fax_number": "954-749-1639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "HOWARD",
        "middle_name": "SANDER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0031557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024077100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

Verify at the official NPI Registry.