DR. DAVID KOCH M.D.
NPI 1063451789
Radiology - Body Imaging in Normal, IL
NPI Status: Active since June 06, 2006
Contact Information
2200 FORT JESSE RD
SUITE 280
NORMAL, IL
ZIP 61761
Phone: (309) 452-1788
Fax: (309) 862-1302
- Individual
- Male
- Radiology
- Body Imaging
About DAVID KOCH
This page provides the complete NPI Profile along with additional information for David Koch, a provider established in Normal, Illinois with a medical specialization in Radiology, focusing in body imaging . The healthcare provider is registered in the NPI registry with number 1063451789 assigned on June 2006. The practitioner's primary taxonomy code is 2085B0100X. The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1063451789
- Provider Name
- DR. DAVID KOCH M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2200 FORT JESSE RD SUITE 280 NORMAL, IL 61761
- Location Phone
- (309) 452-1788
- Location Fax
- (309) 862-1302
- Mailing Address
- 2200 FORT JESSE RD SUITE 280 NORMAL, IL 61761
- Mailing Phone
- (309) 452-1788
- Mailing Fax
- (309) 862-1302
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-06-2006
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Radiology Body Imaging
- Taxonomy Code
- 2085B0100X
- Type
- Allopathic & Osteopathic Physicians
- License State
- IL
- Taxonomy Description
- A Radiology doctor of Osteopathy that specializes in Body Imaging.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| L28591 | MEDICARE ID-TYPE UNSPECIFIED (04) | IL | |
| 036069421*1 | MEDICAID (05) | IL | |
| C37309 | MEDICARE UPIN (02) | IL |
Reviews for DR. DAVID KOCH M.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 6 | 3 | 4 | 5 | 1 | 7 | 8 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 12 | 3 | 8 | 5 | 2 | 7 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 2 + 3 + 8 + 5 + 2 + 7 + 1 + 6 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1063451789 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1164419818 | DR. LAWRENCE K.C. LI M.D. Individual | Orthopaedic Surgery | 2200 FORT JESSE RD SUITE 250 NORMAL, IL 61761 (309) 454-1616 |
| 1730165747 | JILL HENRY CRNA Individual | Nurse Anesthetist, Certified Registered | 2200 FORT JESSE RD SUITE 240 NORMAL, IL 61761 (309) 268-9300 |
| 1730165762 | CATHERINE GLEASON-DINTAMAN CRNA Individual | Nurse Anesthetist, Certified Registered | 2200 FORT JESSE RD SUITE 240 NORMAL, IL 61761 (309) 268-9300 |
| 1104802966 | DR. SABITA REDDY MD Individual | Anesthesiology (Pain Medicine) | 2200 FORT JESSE RD STE 240 NORMAL, IL 61761 (309) 268-9300 |
| 1558348599 | JUANITA SMITH CRNA Individual | Nurse Anesthetist, Certified Registered | 2200 FORT JESSE RD STE 240 NORMAL, IL 61761 (309) 268-9300 |
| 1881672582 | LISA RUSSELL CRNA Individual | Nurse Anesthetist, Certified Registered | 2200 FORT JESSE RD SUITE 240 NORMAL, IL 61761 (309) 268-9300 |
| 1629043385 | MARGARET K STARR LPN Individual | Licensed Practical Nurse | 2200 FORT JESSE RD STE 240 NORMAL, IL 61761 (309) 268-9300 |
| 1881649267 | DR. ISHWAR JAGASIA M.D. Individual | Radiology (Diagnostic Radiology) | 2200 FORT JESSE RD SUITE 280 NORMAL, IL 61761 (309) 452-1788 |
| 1023063419 | DR. AJAY R MALPANI M.D. Individual | Radiology (Nuclear Radiology) | 2200 FORT JESSE RD SUITE 280 NORMAL, IL 61761 (309) 452-1788 |
| 1487609822 | DR. NAVEED YOUSUF M.D. Individual | Radiology (Neuroradiology) | 2200 FORT JESSE RD SUITE 280 NORMAL, IL 61761 (309) 452-1788 |
| 1972559912 | DR. WILLIAM E COOLEY M.D. Individual | Radiology (Diagnostic Radiology) | 2200 FORT JESSE RD SUITE 280 NORMAL, IL 61761 (309) 452-1788 |
| 1043266018 | DR. CARLOS P CAPATI M.D. Individual | Radiology (Diagnostic Radiology) | 2200 FORT JESSE RD SUITE 280 NORMAL, IL 61761 (309) 452-1788 |
| 1316986466 | DR. WILLIAM L RAY M.D. Individual | Radiology (Diagnostic Radiology) | 2200 FORT JESSE RD SUITE 280 NORMAL, IL 61761 (309) 452-1788 |
| 1023057254 | DR. DANIEL L HA M.D. Individual | Radiology (Body Imaging) | 2200 FORT JESSE RD SUITE 280 NORMAL, IL 61761 (309) 452-1788 |
| 1386683076 | DR. KENDALL L WONG M.D. Individual | Radiology (Diagnostic Radiology) | 2200 FORT JESSE RD SUITE 280 NORMAL, IL 61761 (309) 452-1788 |
| 1770680951 | MRS. DIANA LEE MARIANI MSW, LCSW Individual | Social Worker (Clinical) | 2200 FORT JESSE RD NORMAL, IL 61761 (309) 452-9001 |
| 1922199587 | JOHANNAH ISAIA Individual | Physician Assistant | 2200 FORT JESSE RD NORMAL, IL 61761 (309) 661-6290 |
| 1669564738 | JOSEPH LIU Individual | Family Medicine | 2200 FORT JESSE RD SUITE 110 NORMAL, IL 61761 (309) 661-6290 |
| 1598857278 | SUSAN SHEPPARD Individual | Family Medicine | 2200 FORT JESSE RD SUITE 110 NORMAL, IL 61761 (309) 661-6290 |
| 1093807885 | SUSAN RAUSCH Individual | Family Medicine | 2200 FORT JESSE RD SUITE 110 NORMAL, IL 61761 (309) 661-6290 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063451789, enumerated in the NPI registry as an "individual" on June 06, 2006
The provider is located at 2200 Fort Jesse Rd Suite 280 Normal, Il 61761 and the phone number is (309) 452-1788
The provider's speciality is Radiology with taxonomy code 2085B0100X with a focus in Body Imaging
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on June 06, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.