Active NPI
James E. Koch, PA
- Physician Assistant
- Austin, TX
National Provider Identifier
1568521045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA03169
- Practice address
- 12001 Cascade Caverns TRL
Austin, TX 78739-4805 - Phone
- (512) 736-4442
- NPI assigned
- Dec 8, 2006
- Last updated
- Jan 11, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA03169 | TX | Primary |
| Psychiatry Physician | 2084P0800X | PA03169 | TX | |
| Medical Physician Assistant | 363AM0700X | PA03169 | TX |
Addresses
Primary practice location
12001 Cascade Caverns TRL
Austin, TX 78739-4805
Mailing address
12001 Cascade Caverns TRL
Austin, TX 78739-4805
Phone (512) 736-4442
Other practice location 1
2200 Park Bend Dr
Bldg 2 Suite 300
Austin, TX 78758-5387
Phone (512) 836-5665
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050810000628 | TX | Practitioner - Physician Assistant | 1052398856 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Texas Pain Center, PLLC | Past | Accepting new patients |
Interoperability endpoints
- james.koch@202362935902212.direct.elationemr.com
- jameskoch@umsg-tx.direct.office.nextgen.com
Organizations & group practices 1
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.
-
- Durable Medical Equipment & Medical Supplies
- Bastrop, TX
- NPI 1902271935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704931200000",
"number": "1568521045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12001 CASCADE CAVERNS TRL",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787394805",
"telephone_number": "512-736-4442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12001 CASCADE CAVERNS TRL",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787394805",
"telephone_number": "512-736-4442"
}
],
"practiceLocations": [
{
"address_1": "2200 Park Bend Dr",
"address_2": "Bldg 2 Suite 300",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787585387",
"country_code": "US",
"telephone_number": "512-836-5665",
"fax_number": "512-997-9092",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOCH",
"first_name": "JAMES",
"middle_name": "E.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-08",
"last_updated": "2024-01-11",
"certification_date": "2024-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA03169",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "PA03169",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA03169",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.