NPIMap

Individual provider Active NPI

Cheryl A. Koch, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Bryn Mawr, PA
National Provider Identifier
1790707198
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD055842 Issued in PA
Practice address
825 Old Lancaster Rd
Suite 320
Bryn Mawr, PA 19010-3231
Phone
(610) 527-3800
Fax
(610) 527-0334
NPI assigned
Jul 24, 2006
Last updated
Apr 5, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD055842 PA Primary

Addresses

Primary practice location

825 Old Lancaster Rd
Suite 320
Bryn Mawr, PA 19010-3231

Mailing address

825 Old Lancaster Rd
Suite 320
Bryn Mawr, PA 19010-3231
Phone (610) 527-3800

Other identifiers 1

IdentifierTypeStateIssuer
0015518990003MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100408000300 PA Practitioner - Endocrinology 3072649573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Perelman School of Med at the University of Pennsylvania, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

825 Old Lancaster Rd
Suite 320
Bryn Mawr, PA 19010-3235
Phone (610) 527-3800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD055842PAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bryn Mawr Medical Specialists Association CurrentSince Apr 1, 2002 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

825 Old Lancaster Rd
Ste 320
Bryn Mawr, PA 19010
Phone (610) 524-3800

825 Old Lancaster Rd
Ste 360
Bryn Mawr, PA 19010
Phone (484) 380-2885

830 Old Lancaster Rd
Ste 202
Bryn Mawr, PA 19010
Phone (610) 527-1607

Interoperability endpoints

  • Direct secure messaging: cheryl.koch@bmmsa.directbygreenway.com

Ownership & related parties

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Paoli HospitalPaoli, PA, CCN 390153 Hospital Corporate Director Jul 1, 2019
Riddle HospitalMedia, PA, CCN 390222 Hospital Corporate Director Jul 1, 2019
Bryn Mawr HospitalBryn Mawr, PA, CCN 390139 Hospital Corporate Director Jul 1, 2019
Bryn Mawr Hospital Psychiatric UnitBryn Mawr, PA, CCN 39S139 Hospital Corporate Director Jul 1, 2019
Lankenau Medical CenterWynnewood, PA, CCN 390195 Hospital Corporate Director Jul 1, 2019
Bryn Mawr Rehabilitation HospitalMalvern, PA, CCN 393025 Hospital Corporate Director Jul 1, 2019

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491350400000",
    "number": "1790707198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 OLD LANCASTER RD",
            "address_2": "SUITE 320",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103231",
            "telephone_number": "610-527-3800",
            "fax_number": "610-527-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 OLD LANCASTER RD",
            "address_2": "SUITE 320",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103231",
            "telephone_number": "610-527-3800",
            "fax_number": "610-527-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "CHERYL",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2017-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PA",
            "license": "MD055842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015518990003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

Verify at the official NPI Registry.