Active NPI
Regina Marie Koch, M.D.
- Vascular & Interventional Radiology Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 246556
- Practice address
- 75 Francis St
Radiology Dept
Boston, MA 02115-6110 - Phone
- (617) 732-5500
- NPI assigned
- Jun 16, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 246556 | MA | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 246556 | MA | Primary |
Addresses
Primary practice location
75 Francis St
Radiology Dept
Boston, MA 02115-6110
Mailing address
55 Lake Ave N
Radiology Dept
Worcester, MA 01655-0002
Phone (508) 368-0000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 246556 | Other | MA | 1649430208 |
| R70177 | Other | AZ | TRAINING PERMIT |
Other names 1
- Regina Marie Koch
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500
Hospital & facility affiliations
- Brigham and Women'S Hospital
- Brigham and Women Faulkner Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 246556 | MA | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harbor Medical Associates, Inc. | Current | Accepting new patients | |
| Harbor Medical Associates, Inc. | Current | Accepting new patients | |
| Brigham and Women'S Hospital | Current | Accepting new patients | |
| Harbor Medical Associates, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Brigham & Womens Physicians Organization Inc | Current | Accepting new patients |
Locations
75 Francis St
Boston, MA 02115
30 Locust St
Northampton, MA 01060
Phone (413) 582-2000
541 Main St
Ste 101
South Weymouth, MA 02190
Phone (781) 331-7799
541 Main St
Ste 314
Weymouth, MA 02190
Phone (781) 952-1200
Interoperability endpoints
- koch.reginamaria.bwh@direct.partners.masshiway.net
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Boston, MA
- NPI 1033535497
-
- Cardiovascular Disease Physician
- South Weymouth, MA
- NPI 1124079561
-
- General Acute Care Hospital
- Boston, MA
- NPI 1093885816
-
- Clinical Medical Laboratory
- South Weymouth, MA
- NPI 1396942926
-
- Diagnostic Radiology Physician
- S. Weymouth, MA
- NPI 1689909723
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1790717650
-
- General Acute Care Hospital
- Boston, MA
- NPI 1578677811
-
- Psychiatric Hospital Unit
- Boston, MA
- NPI 1033121025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486944000000",
"number": "1649430208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 LAKE AVE N",
"address_2": "RADIOLOGY DEPT",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016550002",
"telephone_number": "508-368-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 FRANCIS ST",
"address_2": "RADIOLOGY DEPT",
"city": "BOSTON",
"state": "MA",
"postal_code": "021156110",
"telephone_number": "617-732-5500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOCH",
"first_name": "REGINA",
"middle_name": "MARIE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-16",
"last_updated": "2017-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MA",
"license": "246556",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "MA",
"license": "246556",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1649430208",
"identifier": "246556",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRAINING PERMIT",
"identifier": "R70177",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "REGINA",
"last_name": "KOCH",
"middle_name": "MARIE",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.