MRS. KIM ILENE KOCH M.S./CCC-SLP
NPI 1164687844
Speech-Language Pathologist in Las Vegas, NV

Active since July 22, 2008
1284 LOS MEADOWS DR, LAS VEGAS, NV 89110(702) 278-3022 Get Directions Write a Review

NPPES record last updated: July 22, 2008. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mrs. Kim Ilene Koch M.s./ccc-slp NPPES

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

MRS. KIM ILENE KOCH M.S./CCC-SLP (NPI 1164687844) is an individual speech-language pathologist provider in Las Vegas, Nevada, licensed in Nevada (SP290) and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1164687844
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. KIM ILENE KOCHCredential: M.S./CCC-SLP
Location Address1284 LOS MEADOWS DRLas Vegas, NV 89110-1904
Mailing Address1284 Los Meadows DrLas Vegas, NV 89110-1904 · (702) 431-6973
Sole ProprietorYes
Enumeration DateJuly 22, 2008
✔ NPI 1164687844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in NV · SP290
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
1284 LOS MEADOWS DR, Las Vegas, NV 89110

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kim Ilene Koch M.s./ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Kim Koch reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Occupational Therapist
11091 KILKERRAN CT
Las Vegas, NV 89141
  • Reassigned Medicare billing, Nevada enrollment
  • 10 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.

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 Kim Koch's NPI number?

The NPI number for Kim Koch is 1164687844. It was assigned to this individual provider in the NPPES registry on July 22, 2008.

Where is Kim Koch located?

Kim Koch practices at 1284 Los Meadows Dr, Las Vegas, NV 89110. The listed phone number is (702) 278-3022.

What is Kim Koch's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Kim Koch enrolled in Medicare?

Yes. Kim Koch is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kim Koch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kim Koch reassigns Medicare benefits to Tiltons Therapy Inc (Las Vegas, NV). 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 Kim Koch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kim Koch accept?

Health plans from Ambetter Health and Ambetter from Arizona Complete Health list Kim Koch as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kim Koch was last updated on July 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.