Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1730409392 Individual Practitioner Male Practitioner

Patrick H Koch , CBIS

Specialist • Grand Rapids, MI

Professional Overview & Biography Verified Profile Summary

Patrick Koch, CBIS is a registered healthcare professional specializing in Specialist in Grand Rapids, MI. Practice services are available at 1490 E BELTLINE AVE SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1490 E Beltline Ave Se

Grand Rapids, MI 495064336

Telephone 6169400040
Fax 6169408151
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Grand Rapids, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 43.5 Yrs
State Avg: 37.1 Yrs
Regional Practice Density
84 Specialists

Practicing in Grand Rapids, MI (867 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-08-23
Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License MI 1255

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Specialist

NUCC Taxonomy Code: 174400000X

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Richard Smedley , RMA

Technician - Personal Care Attendant

NPI 1003327313
Kwanyah Sandifer

Licensed Practical Nurse

NPI 1013423862
Julie Dalton

Rehabilitation Practitioner

NPI 1023435955
Jennifer Brown

Technician - Personal Care Attendant

NPI 1023525441
Jane Mauger , NP

Nurse Practitioner

NPI 1033315916

Nurse Practitioner

Amanda Amos

Specialist

NPI 1033439278

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 23, 2021

Specialist (License #1255 in MI)

NPI Profile Active June 07, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location June 07, 2010

Registered at 1490 E BELTLINE AVE SE, GRAND RAPIDS, MI 495064336 (Tel: 6169400040)

📍
Updated Business Mailing Address June 07, 2010

Registered at 1490 E BELTLINE AVE SE, GRAND RAPIDS, MI 495064336 (Tel: 6169400040)

👤
Provider Name / Credentials Updated June 07, 2010

Recorded as PATRICK KOCH, CBIS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 07, 2010

Specialist

🟢
Initial NPI Registration & Enumeration June 07, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730409392
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 07, 2010
Last Update: August 23, 2021
Sole Proprietor: No

Mailing Address

1490 E Beltline Ave Se

Grand Rapids, MI 495064336

Phone: 6169400040

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.