NPIMap

Individual provider Active NPI

Hayley Dawn Koch, PA-C

  • Physician Assistant
  • Jefferson Hills, PA
National Provider Identifier
1982132973
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA059215 Issued in PA
Practice address
575 Coal Valley Rd Ste 105
Jefferson Hills, PA 15025-3723
Phone
(412) 359-8900
Fax
(412) 359-8977
NPI assigned
Jun 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X OA004221 PA
Physician Assistant 363A00000X MA059215 PA Primary

Addresses

Primary practice location

575 Coal Valley Rd Ste 105
Jefferson Hills, PA 15025-3723

Mailing address

575 Coal Valley Rd Ste 105
Jefferson Hills, PA 15025-3723
Phone (412) 359-8900

Other identifiers 2

IdentifierTypeStateIssuer
103368995MedicaidPA
14097479OtherCAQH

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
I20171018000140 PA Practitioner - Physician Assistant 1052687183 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

1307 Federal St
Pittsburgh, PA 15212-4769

1307 Federal St
Suite B100
Pittsburgh, PA 15212-4761
Phone (412) 359-8900

4815 Liberty Ave
Pittsburgh, PA 15224-2156

575 Coal Valley Rd
Suite 105
Clairton, PA 15025-3723
Phone (412) 359-8900

575 Coal Valley Rd
Suite 209
Clairton, PA 15025-3724
Phone (412) 267-6600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
80.94 of 100Reported as group
Quality
61.89
Promoting interoperability
100
Improvement activities
40
Cost
74.58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
OA004221PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Apr 3, 2024 Accepting new patients
Allegheny Clinic CurrentSince Apr 3, 2024 Accepting new patients
Upmc Community Medcine Inc CurrentSince May 8, 2018 Accepting new patients
University of Pittsburgh Physicians CurrentSince Feb 18, 2019 Accepting new patients
University of Pittsburgh Physicians CurrentSince Feb 18, 2019 Accepting new patients
Upmc Community Medicine Inc CurrentSince May 8, 2018 Accepting new patients
Allegheny Clinic Past Accepting new patients

Locations

875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622

575 Coal Valley Rd
Ste 105
Jefferson Hills, PA 15025
Phone (412) 466-8811

161 Waterdam Rd
Apt 120
McMurray, PA 15317
Phone (724) 942-3097

1307 Federal St
Ste B100
Pittsburgh, PA 15212
Phone (412) 359-4667

1307 Federal St
Ste 301
Pittsburgh, PA 15212
Phone (412) 359-3751

300 Halket St
Ste 5200
Pittsburgh, PA 15213
Phone (412) 641-7850

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

4 Allegheny Ctr
Fl 7
Pittsburgh, PA 15212

3471 5th Ave
Ste 1010
Pittsburgh, PA 15213
Phone (412) 605-3254

Interoperability endpoints

  • Direct secure messaging: hkoch888362@direct.ahn.org

Organizations & group practices 10

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 8

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": "1496361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1982132973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 COAL VALLEY RD STE 105",
            "city": "JEFFERSON HILLS",
            "state": "PA",
            "postal_code": "150253723",
            "telephone_number": "412-359-8900",
            "fax_number": "412-359-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 COAL VALLEY RD STE 105",
            "city": "JEFFERSON HILLS",
            "state": "PA",
            "postal_code": "150253723",
            "telephone_number": "412-359-8900",
            "fax_number": "412-359-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "HAYLEY",
        "middle_name": "DAWN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-02",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA004221",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA059215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103368995",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14097479",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson Hills, PA

Sources for this page

Verify at the official NPI Registry.