Active NPI
Daniel Gregory Koch, M.D.
- Family Medicine Physician
- Lincolnton, NC
National Provider Identifier
1861484453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 200401245
- Practice address
- 1531 N Aspen St
Lincolnton, NC 28092-7268 - Phone
- (704) 732-8736
- Fax
- (704) 732-8121
- NPI assigned
- Aug 18, 2005
- Last updated
- Jun 7, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 200401245 | NC | Primary |
Addresses
Primary practice location
1531 N Aspen St
Lincolnton, NC 28092-7268
Mailing address
1531 N Aspen St
Lincolnton, NC 28092-7268
Phone (704) 732-8736
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 138N8 | Other | NC | BLUE CROSS BLUE SHIELD |
| 89138N8 | Medicaid | NC |
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Colorado School of Medicine, Denver, 1993
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1531 N Aspen St
Lincolnton, NC 28092-7268
Phone (704) 732-8736
2675 Court Dr
Gastonia, NC 28054-1478
Phone (704) 824-7800
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200401245 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Medicine Associates of Lincoln County, PLLC | Family Medicine | Current | Accepting new patients |
Locations
1531 N Aspen St
Lincolnton, NC 28092
Phone (704) 732-8736
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BHIABA
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.
-
- Family Medicine Physician
- Lincolnton, NC
- NPI 1558320895
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Atrium Health Cleveland
- General Acute Care Hospital
- Shelby, NC
- NPI 1669348991
-
dba Atrium Health Lincoln
- General Acute Care Hospital
- Lincolnton, NC
- NPI 1730055054
-
dba CenterWell Home Health
- Home Health Agency
- Lincolnton, NC
- NPI 1417323296
-
dba Atrium Health at Home Lincoln
- Home Health Agency
- Lincolnton, NC
- NPI 1326223892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307404800000",
"number": "1861484453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1531 N ASPEN ST",
"city": "LINCOLNTON",
"state": "NC",
"postal_code": "280927268",
"telephone_number": "704-732-8736",
"fax_number": "704-732-8121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1531 N ASPEN ST",
"city": "LINCOLNTON",
"state": "NC",
"postal_code": "280927268",
"telephone_number": "704-732-8736",
"fax_number": "704-732-8121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOCH",
"first_name": "DANIEL",
"middle_name": "GREGORY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-18",
"last_updated": "2011-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "200401245",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "138N8",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89138N8",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lincolnton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; 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.