Active NPI
Robert Kent Koch, M.D.
- Pediatrics Physician
- Lincoln, NE
National Provider Identifier
1538163589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 18979
- Practice address
- 3901 Pine Lake Rd Ste 210
Lincoln, NE 68516-5497 - Phone
- (402) 613-8105
- Fax
- (402) 489-6803
- NPI assigned
- Jun 8, 2005
- Last updated
- Mar 8, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 18979 | NE | Primary |
Addresses
Primary practice location
3901 Pine Lake Rd Ste 210
Lincoln, NE 68516-5497
Mailing address
3901 Pine Lake Rd Ste 210
Lincoln, NE 68516-5497
Phone (402) 488-7337
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | robertkoch@cfppc.allscriptsdirect.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18979 | NE | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children First Pediatrics, P.C. | Pediatrics | Current | Accepting new patients |
| Children First Pediatrics, P.C. | Pediatrics | Past | Accepting new patients |
| Bryan Medical Center | Past | Accepting new patients |
Locations
3901 Pine Lake Rd
Ste 210
Lincoln, NE 68516
Phone (402) 465-5600
Interoperability endpoints
- robertkoch@cfppc.allscriptsdirect.net
Organizations & group practices 3
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.
-
- Pediatrics Physician
- Lincoln, NE
- NPI 1316235179
-
- Pediatrics Physician
- Lincoln, NE
- NPI 1942721956
-
- General Acute Care Hospital
- Lincoln, NE
- NPI 1528006103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615161600000",
"number": "1538163589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 PINE LAKE RD STE 210",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685165497",
"telephone_number": "402-488-7337",
"fax_number": "402-488-7338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 PINE LAKE RD STE 210",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685165497",
"telephone_number": "402-613-8105",
"fax_number": "402-489-6803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOCH",
"first_name": "ROBERT",
"middle_name": "KENT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-08",
"last_updated": "2021-03-08",
"certification_date": "2021-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NE",
"license": "18979",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "robertkoch@cfppc.allscriptsdirect.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3901 Pine Lake Rd Ste 210",
"city": "Lincoln",
"state": "NE",
"country_code": "US",
"postal_code": "685165497",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Mar 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.