Individual provider Active NPI

Troy Steven Koch, M.D.

  • Diagnostic Radiology Physician
  • Little Rock, AR
National Provider Identifier
1306042957
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
6592058-1205 Issued in UT
Practice address
500 S University Ave
Suite #101
Little Rock, AR 72205-5302
Phone
(501) 664-3914
Fax
(501) 664-5246
NPI assigned
Jun 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 6592058-1205 UT Primary

Addresses

Primary practice location

500 S University Ave
Suite #101
Little Rock, AR 72205-5302

Mailing address

1308 E 900 S Ste C
St George, UT 84790-8730
Phone (356) 732-3014

Other identifiers 1

IdentifierTypeStateIssuer
5922695MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tkoch104250@direct.med.utah.edu Direct University of Utah

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, AZ, ID3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20140731002394 UT Practitioner - Diagnostic Radiology 5092979294 Reassigns benefits to 4 organizations
I20210315001446 AZ Practitioner - Diagnostic Radiology 5092979294 Reassigns benefits to 1 organization
I20240104001809 ID Practitioner - Diagnostic Radiology 5092979294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
George Washington University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

1380 E Medical Ctr Dr
St George, UT 84790-2123
Phone (435) 251-1000

Hospital & facility affiliations

  • St. George Regional Hospital Hospital, St George, UT, CCN 460021
  • Intermountain Health Cedar City Hospital Hospital, Cedar City, UT, CCN 460007
  • Intermountain Medical Center Hospital, Murray, UT, CCN 460010
  • Mesa View Regional Hospital Hospital, Mesquite, NV, CCN 291307
  • Intermountain Health McKay-Dee Hospital Hospital, Ogden, UT, CCN 460004

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince May 25, 2023 Accepting new patients
University of Utah Adult Services Diagnostic Radiology CurrentSince Feb 1, 2015 Accepting new patients
Tellica Imaging, LLC CurrentSince Nov 7, 2023 Accepting new patients
University of Utah Adult Services CurrentSince Feb 1, 2015 Accepting new patients
Tellica Imaging, LLC Diagnostic Radiology CurrentSince Nov 7, 2023 Accepting new patients
University of Utah Adult Services Current Accepting new patients
St. George Radiology Inc. Diagnostic Radiology CurrentSince Dec 1, 2016 Accepting new patients
Ihc Health Services Inc CurrentSince Aug 25, 2018 Accepting new patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince Jan 26, 2021 Accepting new patients
Ihc Health Services, Inc. CurrentSince Aug 25, 2018 Accepting new patients
Ihc Health Services Inc Family Medicine Current Accepting new patients

Locations

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

1201 S Alma School Rd
Ste 14500
Mesa, AZ 85210
Phone (602) 698-7715

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

1625 N Campbell Ave
Tucson, AZ 85719

8505 W Overland Rd
Boise, ID 83709
Phone (208) 417-5100

1525 W 2100 S
Salt Lake City, UT 84119
Phone (801) 213-8841

5217 S State St
Ste 200
Salt Lake City, UT 84107
Phone (208) 417-5100

36 S Street St
Ste 2200
Salt Lake Cty, UT 84111
Phone (385) 622-0669

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

1950 Circle of Hope Dr
Slc, UT 84112
Phone (801) 585-0100

1490 E Foremaster Dr
Bldg C
St George, UT 84790
Phone (435) 674-5230

1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355

544 S 400 E
St George, UT 84770
Phone (435) 688-4000

1308 E 900 S
Ste C
St George, UT 84790
Phone (435) 673-2301

1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992

Organizations & group practices 11

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 5

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": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1306042957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 E 900 S STE C",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847908730",
            "telephone_number": "356-732-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S UNIVERSITY AVE",
            "address_2": "SUITE #101",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055302",
            "telephone_number": "501-664-3914",
            "fax_number": "501-664-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "TROY",
        "middle_name": "STEVEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-21",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "UT",
            "license": "6592058-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5922695",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tkoch104250@direct.med.utah.edu",
            "affiliation": "Y",
            "affiliationName": "University of Utah",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.