Individual provider Active NPI

Nicholas James Koch, M.D.

  • Emergency Medicine Physician
  • Aberdeen, WA
National Provider Identifier
1912326836
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
C4550 Issued in KY
Practice address
915 Anderson Dr
Aberdeen, WA 98520-1006
Phone
(360) 532-8330
NPI assigned
Apr 8, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 21697 ND
Emergency Medicine Physician 207P00000X MED-PHYS-COM-LIC-158 MT
Emergency Medicine Physician 207P00000X 15714A WY
Emergency Medicine Physician 207P00000X C4550 KY Primary
Emergency Medicine Physician 207P00000X TD61442314 WA
Emergency Medicine Physician 207P00000X 27283 NV
Emergency Medicine Physician 207P00000X C179538 CA

Addresses

Primary practice location

915 Anderson Dr
Aberdeen, WA 98520-1006

Mailing address

2708 Foothill Blvd # 1014
La Crescenta, CA 91214-3516

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WY, WA, ND, MT, NV, KY, OK8 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 8

Enrollment IDStateProvider typePAC IDDetails
I20220714004059 CA Practitioner - Emergency Medicine 0345510491 Reassigns benefits to 2 organizations
I20230321001863 WY Practitioner - Emergency Medicine 0345510491 Reassigns benefits to 1 organization
I20230714002280 WA Practitioner - Emergency Medicine 0345510491 Reassigns benefits to 4 organizations
I20241113003889 ND Practitioner - Emergency Medicine 0345510491 Reassigns benefits to 2 organizations
I20250805003344 MT Practitioner - Emergency Medicine 0345510491 Reassigns benefits to 1 organization
I20250827002804 NV Practitioner - Emergency Medicine 0345510491 Reassigns benefits to 1 organization
I20251203003200 KY Practitioner - Emergency Medicine 0345510491 Reassigns benefits to 1 organization
I20260105003255 OK Practitioner - Emergency Medicine 0345510491 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Oklahoma CommunitiesGroup PAC ID 1153468921, 645 clinicians
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians
SCL Health Medical Group-Butte LLCGroup PAC ID 2466633102, 109 clinicians
Ies ER Oklahoma LLCGroup PAC ID 5395234678, 135 clinicians
Northwest Emergency Physicians LLCGroup PAC ID 3476462334, 267 clinicians

Practice addresses (Care Compare)

1011 14TH Ave NW
Ardmore, OK 73401-1828
Phone (580) 220-6132

1099 Medical Ctr Cir
Mayfield, KY 42066-1179
Phone (270) 251-4100

400 S Clark St
Butte, MT 59701-2328
Phone (406) 495-7260

6161 S Yale Ave
Tulsa, OK 74136-1902
Phone (918) 494-2200

915 Anderson Dr
Aberdeen, WA 98520-1006
Phone (360) 532-8330

Hospital & facility affiliations

  • Jackson Purchase Medical Center Hospital, Mayfield, KY, CCN 180116
  • Grays Harbor Community Hospital Hospital, Aberdeen, WA, CCN 500031
  • St James Hospital Hospital, Butte, MT, CCN 270017
  • Mercy Hospital Ardmore, Inc Hospital, Ardmore, OK, CCN 370047
  • Saint Francis Hospital, Inc Hospital, Tulsa, OK, CCN 370091

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C179538CAMDEmergency Medicine Physician
C4550KYMDEmergency Medicine Physician
MED-PHYS-COM-LIC-158MTMDEmergency Medicine Physician
27283NVMDEmergency Medicine Physician
15714AWYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Campbell County Hospital District Current Accepting new patients
Usc Care Medical Group, Inc CurrentSince Jul 15, 2022 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Dec 1, 2025 Accepting new patients
Olney Emergency Group, a Professional LLC Emergency Medicine CurrentSince Jun 10, 2023 Accepting new patients
Mercy Medical Center Emergency Medicine CurrentSince Nov 24, 2024 Accepting new patients
Campbell County Hospital District CurrentSince Mar 3, 2023 Accepting new patients
Ies ER Oklahoma LLC Emergency Medicine CurrentSince Oct 13, 2025 Accepting new patients
Crum,Stefanko and Jones LTD Emergency Medicine CurrentSince Oct 1, 2025 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Jul 15, 2022 Accepting new patients
Washington Emergency Physician Partners PLLC Emergency Medicine CurrentSince Sep 1, 2024 Accepting new patients
Washington Emergency Physician Partners, PLLC Emergency Medicine CurrentSince Sep 1, 2024 Accepting new patients
Northwest Emergency Physicians LLC Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
Campbell County Hospital District Current Accepting new patients
Sunnyside Emergency Group a Professional LLC Emergency Medicine CurrentSince Jun 10, 2023 Accepting new patients
SCL Health Medical Group-Butte LLC Current Accepting new patients
Campbell County Hospital District Emergency Medicine CurrentSince Mar 3, 2023 Accepting new patients
Mercy Medical Center Current Accepting new patients
Mercy Home Care CurrentSince Nov 24, 2024 Accepting new patients
Mercy Medical Center Current Accepting new patients
SCL Health Medical Group-Butte LLC CurrentSince Jun 2, 2025 Accepting new patients

Locations

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

1200 N State St
Los Angeles, CA 90089
Phone (323) 226-2170

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

3369 Solutions Ctr
Chicago, IL 60677

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

1099 Medical Center Cir
Mayfield, KY 42066
Phone (270) 251-4100

400 S Clark St
Butte, MT 59701
Phone (406) 495-7260

1213 15th Ave W
Williston, ND 58801
Phone (701) 572-7641

1301 15th Ave W
Williston, ND 58801
Phone (701) 774-7400

2001 Errecart Blvd
Elko, NV 89801
Phone (775) 738-5151

10501 E 91st St
Tulsa, OK 74133
Phone (918) 307-6000

6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200

915 Anderson Dr
Aberdeen, WA 98520
Phone (360) 532-8330

3810 Plaza Way
Kennewick, WA 99338
Phone (509) 221-7000

888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115

1016 Tacoma Ave
Sunnyside, WA 98944
Phone (509) 823-6682

1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101

502 W 4th Ave
Toppenish, WA 98948
Phone (509) 575-5000

501 S Burma Ave
Gillette, WY 82716
Phone (307) 682-8811

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 7

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": "1396915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1912326836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 FOOTHILL BLVD # 1014",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912143516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 ANDERSON DR",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985201006",
            "telephone_number": "360-532-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "NICHOLAS",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-08",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ND",
            "license": "21697",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MT",
            "license": "MED-PHYS-COM-LIC-158",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WY",
            "license": "15714A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "C4550",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "TD61442314",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "27283",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "C179538",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, WA

Sources for this page

Verify at the official NPI Registry.