Individual provider Active NPI

Joseph Alan Koch, MD

  • Family Medicine Physician
  • Lufkin, TX
National Provider Identifier
1386970523
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N3795 Issued in TX
Practice address
10 Medical Center Blvd Ste C
Lufkin, TX 75904-3163
Phone
(936) 639-4393
Fax
(877) 916-5022
NPI assigned
Oct 22, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X N3795 TX Primary

Addresses

Primary practice location

10 Medical Center Blvd Ste C
Lufkin, TX 75904-3163

Mailing address

10 Medical Center Blvd Ste C
Lufkin, TX 75904-3163
Phone (936) 639-4393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20110317000196 TX Practitioner - Family Practice 4880876572 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at San Antonio, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Joseph Koch MD PLLCGroup PAC ID 0648428615, 3 clinicians

Practice addresses (Care Compare)

1201 W Frank Ave
D
Lufkin, TX 75904-3357
Phone (936) 639-4393

Hospital & facility affiliations

  • Excel Home Health Home health agency, Lufkin, TX, CCN 677957
  • CHI St Lukes Health Memorial Lufkin Hospital, Lufkin, TX, CCN 450211
  • Tyler County Hospital Hospital, Woodville, TX, CCN 450460
  • Woodland Heights Medical Center Hospital, Lufkin, TX, CCN 450484
  • CHI St Lukes Health Memorial Livingston Hospital, Livingston, TX, CCN 450395

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph Koch, M.D., PLLC Family Medicine CurrentSince Sep 3, 2012 Accepting new patients
Dmctx1, PLLC Family Medicine CurrentSince Jun 24, 2020 Accepting new patients
Dmctx2, PLLC Family Medicine CurrentSince Jun 24, 2020 Accepting new patients
Bening Medical Group PLLC PastSince Sep 1, 2025 Accepting new patients

Locations

10 Medical Center Blvd
Ste C
Lufkin, TX 75904
Phone (936) 639-4393

1224 S John Redditt Dr
Lufkin, TX 75904
Phone (512) 588-6011

1201 W Frank Ave
#D
Lufkin, TX 75904
Phone (936) 639-4393

410 Gaslight Blvd
Lufkin, TX 75904
Phone (936) 639-2338

Interoperability endpoints

  • Direct secure messaging: joseph.koch.1@28301.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HGFDAD/Endpoint/HGFDAD

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 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": "1256169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1386970523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MEDICAL CENTER BLVD STE C",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043163",
            "telephone_number": "936-639-4393",
            "fax_number": "877-916-5022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MEDICAL CENTER BLVD STE C",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043163",
            "telephone_number": "936-639-4393",
            "fax_number": "877-916-5022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "JOSEPH",
        "middle_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-22",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N3795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

Verify at the official NPI Registry.