NPIMap

Individual provider Active NPI

Mark Andrew Kocab, MD

  • Gastroenterology Physician
  • Kalamazoo, MI
National Provider Identifier
1942271606
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME0774610 Issued in FL
Practice address
601 John St Ste M-302
Kalamazoo, MI 49007-5357
Phone
(269) 349-2266
NPI assigned
Jan 31, 2006
Last updated
May 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 74150 TN
Gastroenterology Physician 207RG0100X 143712 MT
Gastroenterology Physician 207RG0100X 4301512571 MI
Gastroenterology Physician 207RG0100X ME0774610 FL Primary

Addresses

Primary practice location

601 John St Ste M-302
Kalamazoo, MI 49007-5357

Mailing address

1811 80TH Ave E
Parrish, FL 34219-9259
Phone (941) 713-9246

Other practice location 1

1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 844-1121

Other practice location 2

130 W Ravine Rd
Kingsport, TN 37660-3837
Phone (423) 224-4000

Other identifiers 5

IdentifierTypeStateIssuer
2629306OtherAETNA HMO
02902OtherFLBCBS
2950007OtherUNITED HEALTHCARE
5083786OtherAETNA PPO
7485722003OtherCIGNA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.bronsonhg.org Direct Bronson Healthcare Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MI, MT, TN, ID5 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20100826000344 FL Practitioner - GastroenterologyPractitioner - Internal Medicine 4587716873 Reassigns benefits to 1 organization
I20240809001203 MI Practitioner - Gastroenterology 4587716873 Reassigns benefits to 1 organization
I20240809001837 MT Practitioner - Gastroenterology 4587716873 Reassigns benefits to 2 organizations
I20250502001295 TN Practitioner - Gastroenterology 4587716873 Reassigns benefits to 1 organization
I20250530003068 ID Practitioner - Gastroenterology 4587716873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmont Medical Associates IncGroup PAC ID 8123291739, 432 clinicians
Benefis Hospitals IncGroup PAC ID 1153235296, 390 clinicians
Kootenai Health IncGroup PAC ID 1355792276, 394 clinicians
Bronson Methodist HospitalGroup PAC ID 0244148633, 721 clinicians

Practice addresses (Care Compare)

1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 844-1121

1101 26TH St S
Great Falls, MT 59405-5161
Phone (406) 455-5000

1919 Lincoln Way
Suite 415
Coeur D Alene, ID 83814-2527
Phone (208) 625-6000

601 John St
Suite 302
Kalamazoo, MI 49007-5357
Phone (269) 341-4890

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.43 of 100Reported as group
Quality
75.38
Promoting interoperability
100
Improvement activities
40
Cost
79.38

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy53
Upper gastrointestinal (GI) endoscopy for acid reflux174

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0774610FLMDGastroenterology Physician
4301512571MIMDGastroenterology Physician
143712MTMDGastroenterology Physician
74150TNMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bronson Methodist Hospital CurrentSince Sep 1, 2024 Accepting new patients
Premiere Gi PLLC Gastroenterology CurrentSince Aug 1, 2024 Accepting new patients
Benefis Hospitals Inc CurrentSince Mar 6, 2025 Accepting new patients
Kootenai Health, Inc. CurrentSince May 1, 2025 Accepting new patients
Billings Clinic Gastroenterology CurrentSince Jul 26, 2024 Accepting new patients
Kootenai Health, Inc. Current Accepting new patients
Patholgy Services of Kalamazoo, PC Current Accepting new patients
Kootenai Health, Inc. CurrentSince May 1, 2025 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Billings Clinic CurrentSince Jul 26, 2024 Accepting new patients
Wellmont Medical Associates Inc CurrentSince Apr 1, 2025 Accepting new patients
Access Telecare, PLLC PastSince Mar 24, 2025 Accepting new patients
Blue Ridge Medical Management Corporation Past Accepting new patients

Locations

11505 Palmbrush Trl
Ste 200
Lakewood Ranch, FL 34202
Phone (941) 334-9040

2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085

1919 Lincoln Way
Ste 415
Coeur D Alene, ID 83814
Phone (208) 625-4595

423 N Third Ave
Ste 355
Sandpoint, ID 83864
Phone (208) 263-2505

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100

601 John St
Ste M-302
Kalamazoo, MI 49007
Phone (269) 276-0000

3304 Cooley Ct
Portage, MI 49024
Phone (269) 349-2266

801 N 29th St
Billings, MT 59101
Phone (406) 238-2210

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690

1101 26th St S
Fl 5
Great Falls, MT 59405
Phone (406) 455-2132

1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451

1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565

130 W Ravine Rd
Kingsport, TN 37660
Phone (423) 224-3150

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

Interoperability endpoints

  • Direct secure messaging: mkocab56844@benefishs.direct-ci.com
  • Direct secure messaging: direct@direct.bronsonhg.org
  • Direct secure messaging: mkocab841442@direct.multicare.org

Organizations & group practices 13

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.

View all 13

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": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1942271606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 80TH AVE E",
            "city": "PARRISH",
            "state": "FL",
            "postal_code": "342199259",
            "telephone_number": "941-713-9246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 JOHN ST STE M-302",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075357",
            "telephone_number": "269-349-2266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "TN",
            "postal_code": "376207430",
            "country_code": "US",
            "telephone_number": "423-844-1121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 W Ravine Rd",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376603837",
            "country_code": "US",
            "telephone_number": "423-224-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOCAB",
        "first_name": "MARK",
        "middle_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TN",
            "license": "74150",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MT",
            "license": "143712",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "4301512571",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME0774610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2629306",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "02902",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2950007",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "5083786",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7485722003",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.bronsonhg.org",
            "affiliation": "Y",
            "endpointDescription": "Bronson Healthcare Group Direct address",
            "affiliationName": "Bronson Healthcare Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Continuity of Care document",
            "address_1": "601 John St",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490075341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.