Donald F Koch, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

036040159 Issued in IL

Practice address

33 W Delaware PL
Chicago, IL 60610-8115

Phone

(708) 386-6565

Fax

(708) 386-6589

NPI assigned

Aug 29, 2006

Last updated

Apr 22, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Metropolitan Advanced Radiological Services, LTD.

  • Diagnostic Radiology Physician
  • Berwyn, IL
  • NPI 1689613804
  NPD (past)
• Village Radiology LTD

  • Diagnostic Radiology Physician
  • Oak Park, IL
  • NPI 1346337565
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1114036829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 SPRING LAKE CIR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341194678",
            "telephone_number": "708-638-1229",
            "fax_number": "239-304-3681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 W DELAWARE PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606108115",
            "telephone_number": "708-386-6565",
            "fax_number": "708-386-6589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "DONALD",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036040159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036040159",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony J Kocalis, M.D.
• Michael M Kocet, PH.D. LMHC, ACS
• Lauren Emily Koch Macdonald, D.D.S.
• Erika Koch-Weser
• Andrew Koch, FNP
• Kaila Rose Koch
• Karen A Koch, PSYD.
• Kelly Diana Koch, MS, MOTR/L
• Kendall H Koch, D.D.S.
• Matthew J. Koch, MD

• Diagnostic Radiology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Diagnostic Radiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.