Individual provider Active NPI

Stephen Koch, M.D.

  • Diagnostic Radiology Physician
  • Poughkeepsie, NY
National Provider Identifier
1629092838
Registry record updated Apr 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
183957 Issued in NY
Practice address
45 Reade PL
Vassar Brothers Medical Center
Poughkeepsie, NY 12601-3947
Phone
(845) 454-8500
NPI assigned
Jul 27, 2006
Last updated
Apr 6, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2018

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 183957 NY Primary

Addresses

Primary practice location

45 Reade PL
Vassar Brothers Medical Center
Poughkeepsie, NY 12601-3947

Mailing address

2678 South Rd Ste 202
Poughkeepsie, NY 12601-5254
Phone (845) 790-5700

Other identifiers 1

IdentifierTypeStateIssuer
02377324MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040210000457 NY Practitioner - Diagnostic Radiology 8729972971 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical College of Pennsylvania, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lenox Hill Radiology and Medical Imaging Associates PCGroup PAC ID 2264424712, 245 clinicians

Practice addresses (Care Compare)

61 E 77TH St
New York, NY 10075-1817
Phone (212) 772-3111

Merit-based Incentive Payment System (MIPS)

Final score
81.08 of 100Reported as group
Quality
62.84
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.64 of 100Reported as group
Quality
75.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
193957NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Valley Radiology Associates PLLC Diagnostic Radiology CurrentSince Feb 1, 2020 Accepting new patients
Cardiovascular Diagnostics, PC CurrentSince Aug 10, 2015 Accepting new patients
Zwanger & Pesiri Radiology Group, LLP Diagnostic Radiology CurrentSince Oct 1, 2019 Accepting new patients
White Plains Hospital Medical Center Current Accepting new patients
Refuah Health Center Inc Current Accepting new patients
Lenox Hill Radiology & Medical Imaging Associates, PC Diagnostic Radiology CurrentSince Apr 1, 2020 Accepting new patients
Ramapo Imaging Associates, P.C. Diagnostic Radiology CurrentSince Apr 1, 2020 Accepting new patients
Refuah Health Center, Inc. CurrentSince Jul 14, 2023 Accepting new patients
Refuah Health Center, Inc. CurrentSince Jul 14, 2023 Accepting new patients
White Plains Hospital Medical Center Diagnostic Radiology CurrentSince Apr 1, 2015 Accepting new patients
East River Medical Imaging PC CurrentSince Aug 1, 2025 Accepting new patients
White Plains Hospital Medical Center CurrentSince Apr 1, 2015 Accepting new patients
Park West Radiology, PC Diagnostic Radiology PastSince Jul 1, 2008 Accepting new patients
113TH Street Medical Group, PC Diagnostic Radiology Past Accepting new patients
Doshi Diagnostic Imaging Services PC Diagnostic Radiology Past Accepting new patients

Locations

27443 Network Pl
Chicago, IL 60673

8940 56th Ave
Flushing, NY 11373
Phone (718) 335-5532

23135 Merrick Blvd
Laurelton, NY 11413
Phone (718) 481-8693

150 Sunrise Hwy
Ste 201
Lindenhurst, NY 11757

150 Sunrise Hwy
Ste E
Lindenhurst, NY 11757

126 Hicksville Rd
Massapequa, NY 11758
Phone (516) 798-3614

505 State Route 208
Monroe, NY 10950
Phone (845) 783-3444

18 Squadron Blvd
New City, NY 10956
Phone (845) 368-3002

728 N Main St
New Square, NY 10977
Phone (845) 354-9301

147 W 15th St
New York, NY 10011
Phone (212) 473-5323

315 W 57th St
Ste LL4
New York, NY 10019
Phone (212) 698-5300

519 E 72nd St
Ste 103
New York, NY 10021
Phone (212) 288-1575

523 E 72nd St
New York, NY 10021
Phone (212) 606-1591

61 E 77th St
New York, NY 10075
Phone (212) 772-2130

320 Robinson Ave
Newburgh, NY 12550
Phone (845) 565-1989

11 N Airmont Rd
Suffern, NY 10901
Phone (845) 357-1120

255 Lafayette Ave
#H
Suffern, NY 10901
Phone (845) 357-3356

122 Maple Ave
White Plains, NY 10601
Phone (914) 285-9490

4 Lyon Pl
White Plains, NY 10601
Phone (914) 948-6633

41 E Post Rd
White Plains, NY 10601
Phone (914) 681-1201

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522972800000",
    "number": "1629092838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2678 SOUTH RD STE 202",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126015254",
            "telephone_number": "845-790-5700",
            "fax_number": "845-790-5719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 READE PL",
            "address_2": "VASSAR BROTHERS MEDICAL CENTER",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126013947",
            "telephone_number": "845-454-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2018-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "183957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02377324",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.