Individual provider Active NPI

Robert F. Koch, D.O.

  • Hospitalist Physician
  • Lutz, FL
National Provider Identifier
1245455377
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
OS9904 Issued in FL
Practice address
4211 Van Dyke Rd Ste 200
Lutz, FL 33558-8005
Phone
(813) 321-6237
Fax
(813) 463-1801
NPI assigned
Apr 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS9904 FL
Hospitalist Physician 208M00000X OS9904 FL Primary

Addresses

Primary practice location

4211 Van Dyke Rd Ste 200
Lutz, FL 33558-8005

Mailing address

4211 Van Dyke Rd Ste 200
Lutz, FL 33558-8005
Phone (813) 321-6237

Other identifiers 1

IdentifierTypeStateIssuer
AL953ZMedicaidFL

Other names 1

  • Rob Farrar-Koch Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20080902000570 FL Practitioner - Internal MedicinePractitioner - Hospitalist 6204902034 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians

Practice addresses (Care Compare)

4211 Van Dyke Rd
Suite 200
Lutz, FL 33558-8005
Phone (813) 264-6490

Hospital & facility affiliations

  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127
  • Mease Countryside Hospital Hospital, Safety Harbor, FL, CCN 100265
  • Morton Plant North Bay Hospital Hospital, New Port Richey, FL, CCN 100063
  • St Anthonys Hospital Hospital, Saint Petersburg, FL, CCN 100067

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS9904FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Medical Group, Inc. CurrentSince May 1, 2015 Accepting new patients
Baycare Medical Group, Inc. Internal Medicine CurrentSince May 1, 2015 Accepting new patients
24 On Physicians, PC Hospitalist CurrentSince Nov 23, 2019 Accepting new patients
24 On Physicians, P.C. Hospitalist CurrentSince Nov 23, 2019 Accepting new patients

Locations

300 Pinellas St
#47
Clearwater, FL 33756
Phone (727) 462-7907

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552

601 Main St
Dunedin, FL 34698
Phone (727) 461-1133

4211 Van Dyke Rd
#200
Lutz, FL 33558
Phone (813) 264-6490

4211 Van Dyke Rd
Ste 200
Lutz, FL 33558
Phone (813) 264-6490

6600 Madison St
Fl 2
New Port Richey, FL 34652
Phone (727) 815-7207

6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300

6901 Simmons Loop
Fl 4
Riverview, FL 33578
Phone (813) 302-8388

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1245455377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 VAN DYKE RD STE 200",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335588005",
            "telephone_number": "813-321-6237",
            "fax_number": "813-463-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 VAN DYKE RD STE 200",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335588005",
            "telephone_number": "813-321-6237",
            "fax_number": "813-463-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "ROBERT",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS9904",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "OS9904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AL953Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROB",
            "last_name": "FARRAR-KOCH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lutz, FL

Sources for this page

Verify at the official NPI Registry.