Dr. David Koch, M.D.
Dr. David Koch is a Body Imaging Physician provider (Radiology) practicing in Normal, IL, registered in the NPPES registry with NPI 1063451789 since 2006. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1063451789 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. David Koch |
| Credential | M.D. |
| Sex | Male |
| Practice address | 2200 FORT JESSE RD, SUITE 280, Normal, IL, 61761 |
| Phone | 3094521788 |
| Fax | 3098621302 |
| Enumeration date | 2006-06-06 |
| Last updated in NPPES | 2025-09-11 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 2085B0100X | Body Imaging Physician | Primary | — | IL |
| 2085R0202X | Diagnostic Radiology Physician | Secondary | — | IL |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036069421*1 | Medicaid | IL | — |
Copy-ready billing details
Provider: David Koch, M.D. NPI: 1063451789 Taxonomy: 2085B0100X (Body Imaging Physician) Address: 2200 FORT JESSE RD, SUITE 280, Normal, IL, 61761
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1164419818 | Lawrence Li | Individual | Orthopaedic Surgery Physician | Normal, IL |
| 1144217472 | Nancy Davis | Individual | Anesthesiology Physician | Normal, IL |
| 1730165747 | Jill Henry | Individual | Certified Registered Nurse Anesthetist | Normal, IL |
| 1730165762 | Catherine Gleason-Dintaman | Individual | Certified Registered Nurse Anesthetist | Normal, IL |
| 1104802966 | Sabita Reddy | Individual | Pain Medicine (Anesthesiology) Physician | Normal, IL |
| 1558348599 | Juanita Smith | Individual | Certified Registered Nurse Anesthetist | Normal, IL |
| 1881672582 | Lisa Russell | Individual | Certified Registered Nurse Anesthetist | Normal, IL |
| 1629043385 | Margaret Starr | Individual | Licensed Practical Nurse | Normal, IL |
Verify this record
Cross-check NPI 1063451789 against the authoritative CMS record: view Dr. David Koch on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where does David Koch practice?
What is the NPI number for David Koch?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-09-11.