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SANDRA NATALIE KOCH DPM
NPI 1760126304
Podiatrist - Foot & Ankle Surgery in Mooresville, NC

Active since April 20, 2022PECOS EnrolledAccepts Medicare Assignment
143 JOE KNOX AVE STE 100, MOORESVILLE, NC 28117(704) 662-3660(704) 662-3595 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 30, 2026, Oct 8, 2025, Apr 20, 2022 (3 updates tracked since 2022).

About Sandra Natalie Koch Dpm NPPES

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

SANDRA NATALIE KOCH DPM (NPI 1760126304) is an individual foot & ankle surgery provider in Mooresville, North Carolina, licensed in North Carolina (860) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Barry University School Of Podiatric Medicine (2022).

NPPES Registry Identity

NPI1760126304
Entity TypeIndividualFemale
Primary Taxonomy213ES0103X
Provider Legal NameSANDRA NATALIE KOCHCredential: DPM
Location Address143 JOE KNOX AVE STE 100Mooresville, NC 28117-9244
Mailing Address143 Joe Knox Ave Ste 100Mooresville, NC 28117-9244 · (704) 662-3660 · Fax (704) 662-3595
Phone(704) 662-3660
Fax(704) 662-3595
Sole ProprietorYes
Medical School CMSBarry University School Of Podiatric MedicineGraduated 2022
Enumeration DateApril 20, 2022
Last NPPES UpdateApril 30, 20263 updates tracked since enumeration
NPPES CertifiedApril 30, 2026
✔ NPI 1760126304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in NC · 860
143 JOE KNOX AVE STE 100, Mooresville, NC 28117
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sandra Natalie Koch Dpm 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.

PECOS PAC ID2961887039
PECOS Enrollment IDI20250801001177
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.

Other Providers at the Same Location NPPES 6

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

GARRETT BIELA DPM
Podiatrist (Foot & Ankle Surgery)
143 JOE KNOX AVE STE 100
MOORESVILLE, NC 28117
Iredell County (704) 662-3660
GABRIELA ALEXANDRA FLORENTINO DPM
Podiatrist (Foot & Ankle Surgery)
143 JOE KNOX AVE STE 100
MOORESVILLE, NC 28117
Iredell County (781) 913-2551
CONOR KEELEY
Podiatrist (Foot & Ankle Surgery)
143 JOE KNOX AVE STE 100
MOORESVILLE, NC 28117
Iredell County (704) 662-3660
ALEX MILES SCHAEFFER DPM
Podiatrist (Foot & Ankle Surgery)
143 JOE KNOX AVE STE 100
MOORESVILLE, NC 28117
Iredell County (704) 662-3660
IREDELL PHYSICIAN NETWORK, LLC
Orthopaedic Surgery
143 JOE KNOX AVE STE 100
MOORESVILLE, NC 28117
Iredell County (704) 664-2910
TEDDY MANNING MUSSELMAN DPM
Podiatrist (Foot & Ankle Surgery)
143 JOE KNOX AVE STE 100
MOORESVILLE, NC 28117
Iredell County (704) 662-3595

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 Sandra Koch's NPI number?

The NPI number for Sandra Koch is 1760126304. It was assigned to this individual provider in the NPPES registry on April 20, 2022.

Where is Sandra Koch located?

Sandra Koch practices at 143 Joe Knox Ave Ste 100, Mooresville, NC 28117. The listed phone number is (704) 662-3660.

What is Sandra Koch's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Sandra Koch enrolled in Medicare?

Yes. Sandra 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.

What insurance does Sandra Koch accept?

Health plans from Blue Cross and Blue Shield of NC list Sandra 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 Sandra Koch was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.