Brian Steven Koecher, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036-107694 Issued in IL

Practice address

220 E Lake St
Suite 100
Addison, IL 60101-2887

Phone

(630) 516-0434

Fax

(630) 516-0419

NPI assigned

Sep 27, 2006

Last updated

Dec 18, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

Midwestern University, Chicago College of Osteopathic Med, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lake Street Family Medicine LLCGroup PAC ID 3072530237, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Alexian Brothers Medical Center 1 Hospital, Elk Grove Village, IL, CCN 140258
• Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Lake Street Family Medicine, LLC

  • Family Medicine Physician
  • Addison, IL
  • NPI 1639204613
  Medicare reassignment Care Compare group NPD Authorized official
• Dr Paul K. Rosenberg, LTD

  dba Female Healthcare

  • Obstetrics & Gynecology Physician
  • Bloomingdale, IL
  • NPI 1093865339
  NPD (past)

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

• Alexian Brothers Medical Center

  • General Acute Care Hospital
  • Elk Grove Village, IL
  • NPI 1265577191
  Care Compare affiliation
• Central Dupage Hospital Association

  dba Northwestern Medicine Central Dupage Hospital

  • General Acute Care Hospital
  • Winfield, IL
  • NPI 1003864810
  Care Compare affiliation
• Central Dupage Hospital Association

  dba Northwestern Medicine Central Dupage Hospital

  • Psychiatric Hospital Unit
  • Winfield, IL
  • NPI 1740230895
  Care Compare affiliation

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355788800000",
    "number": "1134210834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 E LAKE ST",
            "address_2": "SUITE 100",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601012887",
            "telephone_number": "630-516-0434",
            "fax_number": "630-516-0419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E LAKE ST",
            "address_2": "SUITE 100",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601012887",
            "telephone_number": "630-516-0434",
            "fax_number": "630-516-0419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOECHER",
        "first_name": "BRIAN",
        "middle_name": "STEVEN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2012-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-107694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farooque Khan
• Isabella Kistulinec, PSYD
• Teresa Kmak
• James Michael Knauf, DDS
• Janelle Knippen, LCPC, R-DMT, RYT
• Karen Ann Kowalczyk, APN-CNP
• Andrew Kowalski, M.D.
• Elin N Kuzmack
• Margaret Kwiatkowski
• Lizette Lagunas, PMH-NP

• Family Medicine Physician in Addison, IL
• Providers in Addison, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.