Individual provider Active NPI

Robert Kent Koch, M.D.

  • Pediatrics Physician
  • Lincoln, NE
National Provider Identifier
1538163589
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
18979 Issued in NE
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
18979NEMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children First Pediatrics, P.C. Pediatrics CurrentSince Aug 28, 2021 Accepting new patients
Children First Pediatrics, P.C. Pediatrics PastSince Mar 16, 2021 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.