NPIMap

Individual provider Active NPI

Thomas Jacob Koch, MD

  • Specialist
  • Allentown, PA
National Provider Identifier
1871570127
Registry record updated Feb 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD038042E Issued in PA
Practice address
1728 W Jonathan St
Ste 100
Allentown, PA 18104-3170
Phone
(610) 628-1225
Fax
(610) 628-1132
NPI assigned
Dec 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD038042E PA Primary

Addresses

Primary practice location

1728 W Jonathan St
Ste 100
Allentown, PA 18104-3170

Mailing address

1728 W Jonathan St
Ste 100
Allentown, PA 18104-3170
Phone (610) 628-1225

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
I20110323000849 PA Practitioner - Otolaryngology 5890735948 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Pennsylvania State University College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians
Specialty Physician Associates, LLCGroup PAC ID 6204012016, 43 clinicians

Practice addresses (Care Compare)

120 Pine St
Tamaqua, PA 18252-1409
Phone (570) 645-1540

3445 High Point Blvd
Suite 400
Bethlehem, PA 18017-7808

3445 High Point Blvd
Suite 400
Bethlehem, PA 18017-7817
Phone (610) 866-5555

Hospital & facility affiliations

  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
  • Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Physician Group Inc CurrentSince Jun 23, 2018 Accepting new patients
St. Luke'S Physician Group Inc. CurrentSince Jun 23, 2018 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
Sacred Heart Healthcare System Past Accepting new patients

Locations

421 Chew St
Allentown, PA 18102
Phone (610) 776-4500

120 Pine St
Tamaqua, PA 18252
Phone (570) 645-1540

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.

Hospital & facility affiliations 11

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": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391385600000",
    "number": "1871570127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 W JONATHAN ST",
            "address_2": "STE 100",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181043170",
            "telephone_number": "610-628-1225",
            "fax_number": "610-628-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1728 W JONATHAN ST",
            "address_2": "STE 100",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181043170",
            "telephone_number": "610-628-1225",
            "fax_number": "610-628-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "THOMAS",
        "middle_name": "JACOB",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2014-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD038042E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.