Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. DAVID KOCH M.D.
NPI 1063451789
Radiology - Body Imaging in Normal, IL

Active since June 06, 2006
2200 FORT JESSE RD, SUITE 280, NORMAL, IL 61761(309) 452-1788(309) 862-1302 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 13, 2026, Sep 11, 2025 (2 updates tracked since 2025).

About Dr. David Koch M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DAVID KOCH M.D. (NPI 1063451789) is an individual body imaging provider in Normal, Illinois and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1063451789
Entity TypeIndividualMale
Primary Taxonomy2085B0100X
Provider Legal NameDR. DAVID KOCHCredential: M.D.
Location Address2200 FORT JESSE RD, SUITE 280Normal, IL 61761-6286
Mailing Address2200 Fort Jesse Rd, Suite 280Normal, IL 61761-6286 · (309) 452-1788 · Fax (309) 862-1302
Fax(309) 862-1302
Sole ProprietorNo
Enumeration DateJune 6, 2006
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
NPI 1063451789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Body ImagingAllopathic & Osteopathic Physicians
Taxonomy Code2085B0100X
Definition

A Radiology doctor of Osteopathy that specializes in Body Imaging.

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X
2200 FORT JESSE RD, Normal, IL 61761

Other Identifiers 1

Medicaid036069421*1IL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
2200 FORT JESSE RD, SUITE 250
NORMAL, IL 61761
Occupational Therapist
2200 FORT JESSE RD
NORMAL, IL 61761
Radiology (Body Imaging)
2200 FORT JESSE RD, SUITE 280
NORMAL, IL 61761
Radiology (Nuclear Radiology)
2200 FORT JESSE RD, SUITE 280
NORMAL, IL 61761
Radiology (Diagnostic Radiology)
2200 FORT JESSE RD, SUITE 280
NORMAL, IL 61761
Counselor (Professional)
2200 FORT JESSE RD
NORMAL, IL 61761
Nurse Practitioner
2200 FORT JESSE RD, 110
NORMAL, IL 61761
Family Medicine
2200 FORT JESSE RD, SUITE 110
NORMAL, IL 61761

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Koch's NPI number?

The NPI number for David Koch is 1063451789. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is David Koch located?

David Koch practices at 2200 Fort Jesse Rd Suite 280, Normal, IL 61761. The listed phone number is (309) 452-1788.

What is David Koch's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Body Imaging, with taxonomy code 2085B0100X.

When was this NPI record last updated?

The NPPES record for David Koch was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.