Active NPI
Elizabeth Rose Koch, M.D.
- Diagnostic Radiology Physician
- Houston, TX
National Provider Identifier
1063463412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- G1457
- Practice address
- 1 Baylor PLZ
Dept of Radiology,BCM 360
Houston, TX 77030-3411 - Phone
- (713) 798-4417
- NPI assigned
- May 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | G1457 | TX | Primary |
Addresses
Primary practice location
1 Baylor PLZ
Dept of Radiology,BCM 360
Houston, TX 77030-3411
Mailing address
One Baylor Plaza
Room 165B
Houston, TX 77030
Phone (713) 798-4417
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G1457 | TX | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baylor College of Medicine | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Houston, TX
- NPI 1407928120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267142400000",
"number": "1063463412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ONE BAYLOR PLAZA",
"address_2": "ROOM 165B",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77030",
"telephone_number": "713-798-4417",
"fax_number": "713-798-8050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BAYLOR PLZ",
"address_2": "DEPT OF RADIOLOGY,BCM 360",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770303411",
"telephone_number": "713-798-4417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOCH",
"first_name": "ELIZABETH",
"middle_name": "ROSE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-12",
"last_updated": "2010-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "G1457",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.