Active NPI
Douglas A Koch, MD
- Orthopaedic Surgery Physician
- Lincoln, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 23034
- Practice address
- 6900 A St
Suite 100
Lincoln, NE 68510-4120 - Phone
- (402) 436-2000
- Fax
- (402) 434-2691
- NPI assigned
- Feb 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 23034 | NE | Primary |
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | 23034 | NE | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 23034 | NE |
Addresses
Primary practice location
6900 A St
Suite 100
Lincoln, NE 68510-4120
Mailing address
6900 A St
Suite 100
Lincoln, NE 68510-4120
Phone (402) 436-2000
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200347450A | Other | KS | MEDICAID |
| 91177983268510A017 | Other | NE | TRI CARE |
| 247111 | Other | NE | MIDLANDS CHOICE |
| 30014 | Other | NE | BCBS OF NEBRASKA |
| P00246735 | Other | NE | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Nebraska College of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
103 S 9TH St
Nebraska Orthopaedic Center
Beatrice, NE 68310-4002
Phone (402) 228-5969
2300 S 16TH St
Bryan Medical Center
Lincoln, NE 68502-3704
Phone (402) 475-1011
555 S 70TH St
CHI Health Saint Elizabeth
Lincoln, NE 68510-2462
Phone (402) 219-7700
575 S 70TH St
Lincoln, NE 68510-2471
Phone (402) 436-2000
6900 A St
Lincoln, NE 68510-4120
Hospital & facility affiliations
- York General Health Care Services
- Lincoln Surgical Hospital
- Beatrice Community Hospital & Health Center, Inc
- Bryan Medical Center
- Saunders Medical Center
- Madonna Rehabilitation Hospital Lincoln
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 84 |
| Knee replacement | 146 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 13 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23034 | NE | MD | Orthopaedic Foot and Ankle Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nebraska Orthopaedic Center PC | Orthopaedic Surgery | Current | Accepting new patients |
| Nebraska Orthopaedic Center PC | Orthopaedic Surgery | Current | Accepting new patients |
| Stanley C Graves M D PC | Orthopaedic Surgery | Past | Accepting new patients |
| Institute for Bone and Joint Disorders PC | Orthopaedic Surgery | Past | Accepting new patients |
Locations
103 S 9th St
Beatrice, NE 68310
Phone (402) 228-5969
575 S 70th St
Ste 200
Lincoln, NE 68510
Phone (402) 436-2000
6900 A St
Ste 100
Lincoln, NE 68510
Phone (402) 436-2000
Interoperability endpoints
- https://api.platform.athenahealth.com/32860/brand/1/csg/1/fhir/r4
- douglas.koch.1@32860.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Orthopaedic Surgery Physician
- Lincoln, NE
- NPI 1659349330
-
- Durable Medical Equipment & Medical Supplies
- Lincoln, NE
- NPI 1184379836
Orthopaedic Surgery
-
- Orthopaedic Surgery Physician
- Phoenix, AZ
- NPI 1376513291
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Beatrice, NE
- NPI 1184642894
-
- General Acute Care Hospital
- Lincoln, NE
- NPI 1528006103
-
- Special Hospital
- Lincoln, NE
- NPI 1306849005
-
- Rehabilitation Hospital
- Lincoln, NE
- NPI 1558458091
Inpatient rehabilitation facility
-
- Critical Access Hospital
- Wahoo, NE
- NPI 1831188705
-
- Critical Access Hospital
- York, NE
- NPI 1588764898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380844800000",
"number": "1245205947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6900 A ST",
"address_2": "SUITE 100",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685104120",
"telephone_number": "402-436-2000",
"fax_number": "402-434-2691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6900 A ST",
"address_2": "SUITE 100",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685104120",
"telephone_number": "402-436-2000",
"fax_number": "402-434-2691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOCH",
"first_name": "DOUGLAS",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-17",
"last_updated": "2013-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NE",
"license": "23034",
"primary": true
},
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "NE",
"license": "23034",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "NE",
"license": "23034",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "200347450A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRI CARE",
"identifier": "91177983268510A017",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "247111",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NEBRASKA",
"identifier": "30014",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00246735",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; 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.