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BRODERICK MOORE KOCH MD
NPI 1558011809
Emergency Medicine in Washington, DC

Active since March 28, 2022PECOS Enrolled
110 IRVING ST NW, DEPT. OF EMERGENCY MEDICINE, WASHINGTON, DC 20010(202) 877-2424 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Broderick Moore Koch Md NPPES

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

BRODERICK MOORE KOCH MD (NPI 1558011809) is an individual emergency medicine provider in Washington, District Of Columbia, licensed in Virginia (0101285153) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Inova Alexandria Hospital, and is a graduate of Eastern Virginia Medical School (2022).

NPPES Registry Identity

NPI1558011809
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameBRODERICK MOORE KOCHCredential: MD
Location Address110 IRVING ST NW, DEPT. OF EMERGENCY MEDICINEWashington, DC 20010-3017
Mailing Address110 Irving St Nw, Dept. Of Emergency MedicineWashington, DC 20010-3017
Phone(202) 877-2424
Sole ProprietorNo
Medical School CMSEastern Virginia Medical SchoolGraduated 2022
Enumeration DateMarch 28, 2022
Last NPPES UpdateJuly 7, 2025
NPPES CertifiedJuly 7, 2025
✔ NPI 1558011809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in VA · 0101285153
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
110 IRVING ST NW, Washington, DC 20010
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Broderick Moore Koch Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193225936
PECOS Enrollment IDI20250825004306
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Inova Alexandria Hospital

Acute Care Hospitals · Alexandria, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490040
Location4320 Seminary RdAlexandria, VA 22304 · Alexandria City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20010 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MS. JANET E JUMPER N.P.
Nurse Practitioner (Acute Care)
110 IRVING ST NW, 4B42
WASHINGTON, DC 20010
District of Columbia (202) 877-7462
EMILY JEAN SIEGEL MD
Student in an Organized Health Care Education/Training Program
110 IRVING ST NW
WASHINGTON, DC 20010
District of Columbia (202) 877-8080
KIMBERLY SMITH
Radiology (Diagnostic Radiology)
110 IRVING ST NW
WASHINGTON, DC 20010
District of Columbia (301) 902-1073
MISS ORE-OLUWA ODULANA LIMA DA SILVA CRNA
Nurse Anesthetist, Certified Registered
110 IRVING ST NW
WASHINGTON, DC 20010
District of Columbia (202) 877-7504
DR. FAY HORNG M.D.
Anesthesiology
110 IRVING ST NW
WASHINGTON, DC 20010
District of Columbia (202) 877-7504
DR. MICHAEL B SHVARTS MD
Radiology (Diagnostic Radiology)
110 IRVING ST NW
WASHINGTON, DC 20010
District of Columbia (202) 877-7000
DR. SCOTT THOMAS MARTYNA D.M.D.
Student in an Organized Health Care Education/Training Program
110 IRVING ST NW, DEPT. OF ORAL AND MAXILLOFACIAL SURGERY
WASHINGTON, DC 20010
District of Columbia (202) 877-7332
MS. NOOR-UL-HUDA AMER MEHDI M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
110 IRVING ST NW
WASHINGTON, DC 20010
District of Columbia (202) 877-7000

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 Broderick Koch's NPI number?

The NPI number for Broderick Koch is 1558011809. It was assigned to this individual provider in the NPPES registry on March 28, 2022.

Where is Broderick Koch located?

Broderick Koch practices at 110 Irving St NW Dept. Of Emergency Medicine, Washington, DC 20010. The listed phone number is (202) 877-2424.

What is Broderick Koch's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Broderick Koch enrolled in Medicare?

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

Is Broderick Koch affiliated with any hospitals?

According to CMS data, Broderick Koch is affiliated with Inova Alexandria Hospital.

When was this NPI record last updated?

The NPPES record for Broderick Koch was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.