DR. JOHANNA KOCH M.D.
NPI 1104835057
Family Medicine in Incline Village, NV
About Dr. Johanna Koch M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHANNA KOCH M.D. (NPI 1104835057) is an individual family medicine provider in Incline Village, Nevada, licensed in Nevada (5548) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Renown Regional Medical Center, and is a graduate of University Of Texas Medical School At San Antonio (1984).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Johanna Koch M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Johanna Koch reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Truckee, CA 96161
- Reassigned Medicare billing, California and Nevada enrollments
- Also billed through NPI 1801957667 (Nevada)
- 96 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Renown Regional Medical Center
Acute Care Hospitals · Reno, NVCarson Tahoe Regional Medical Center
Acute Care Hospitals · Carson City, NVRenown South Meadows Medical Center
Acute Care Hospitals · Reno, NVIncline Village Community Hospital
Critical Access Hospitals · Incline Village, NVPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 89451 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 Johanna Koch's NPI number?
The NPI number for Johanna Koch is 1104835057. It was assigned to this individual provider in the NPPES registry on August 7, 2006.
Where is Johanna Koch located?
Johanna Koch practices at 889 Alder Ave. #203, Incline Village, NV 89451. The listed phone number is (775) 832-5200.
What is Johanna Koch's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Johanna Koch enrolled in Medicare?
Yes. Johanna Koch is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Johanna Koch's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Johanna Koch reassigns Medicare benefits to Tahoe Forest Hospital District (Truckee, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Johanna Koch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Johanna Koch affiliated with any hospitals?
According to CMS data, Johanna Koch is affiliated with Renown Regional Medical Center, Carson Tahoe Regional Medical Center, Renown South Meadows Medical Center and Incline Village Community Hospital.
When was this NPI record last updated?
The NPPES record for Johanna Koch was last updated on January 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Johanna Koch, M.D. · NPI 1104835057
Family Medicine physician in Incline Village, Nevada. Individual provider, active in the CMS NPPES registry since August 7, 2006.
## Identity
- **NPI:** 1104835057 (Entity type: Individual)
- **Enumerated:** August 7, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 5548 (Nevada)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 889 ALDER AVE. #203, Incline Village, NV 89451
- **Phone:** (775) 832-5200 · **Fax:** (775) 832-5205
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Tahoe Forest Hospital District (NPI 1538265780, Truckee, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Texas Medical School At San Antonio, class of 1984
## Record status
- **NPPES last updated:** January 26, 2012
- **Other identifiers:** Medicare UPIN VMD5548 (NV)
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Source: [NPI Profile](https://npiprofile.com/npi/1104835057) · Data from the CMS NPPES public registry.