Individual provider Active NPI

Sandra Natalie Koch, DPM

  • Foot & Ankle Surgery Podiatrist
  • Mooresville, NC
National Provider Identifier
1760126304
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
860 Issued in NC
Practice address
143 Joe Knox Ave Ste 100
Mooresville, NC 28117-9244
Phone
(704) 662-3660
Fax
(704) 662-3595
NPI assigned
Apr 20, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 860 NC Primary

Addresses

Primary practice location

143 Joe Knox Ave Ste 100
Mooresville, NC 28117-9244

Mailing address

143 Joe Knox Ave Ste 100
Mooresville, NC 28117-9244
Phone (704) 662-3660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250801001177 NC Practitioner - Podiatry 2961887039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot and Ankle Associates PLLCGroup PAC ID 5991742074, 15 clinicians

Practice addresses (Care Compare)

15419 Hodges Cir
Suite 200
Huntersville, NC 28078-6558
Phone (704) 360-1102

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue23
Removal of skin lesions16
Removal of nail tissue91
Removal or shaving of skin growth47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
860NCMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot & Ankle Associates PLLC Single Specialty CurrentSince Jul 1, 2025 Accepting new patients

Locations

10949 Old Ardrey Kell Rd
Ste 203
Charlotte, NC 28277

15419 Hodges Cir
Ste 200
Huntersville, NC 28078
Phone (704) 360-1102

143 Joe Knox Ave
Ste 100
Mooresville, NC 28117
Phone (704) 662-3660

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1760126304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 JOE KNOX AVE STE 100",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179244",
            "telephone_number": "704-662-3660",
            "fax_number": "704-662-3595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 JOE KNOX AVE STE 100",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179244",
            "telephone_number": "704-662-3660",
            "fax_number": "704-662-3595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "SANDRA",
        "middle_name": "NATALIE",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-20",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

Verify at the official NPI Registry.