Sebastian Koch
Psychiatry & Neurology (Neurology)

Address: 1475 Nw 12th Ave, Box 016960 M851, Miami, FL 33136-1002
Phone: 3052437520

Sebastian Koch (NPI# 1831155779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1831155779
Entity Type Individual
Full Name Sebastian Koch
Credential MD
Gender Male
Practice Address 1475 Nw 12th Ave
Box 016960 M851
Miami
FL 33136-1002
Practice Telephone 3052437520
Practice Fax Number 3052438470
Mailing Address 1475 Nw 12th Ave
Box 016960 M851
Miami
FL 33136-1002
Mailing Telephone 3052437520
Mailing Fax Number 3052438470
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-04-20
Last Update Date 2013-02-20

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 2084N0400X Psychiatry & Neurology · Neurology Allopathic & Osteopathic Physicians ME70460 FL

Other Provider Identifier

State Identifier Issuer Type Code
FL 257431400 MEDICAID

Physician Overview

NPI 1831155779
PAC ID by PECOS 2163546656
Professional Enrollment ID I20100907000438
Full Name Sebastian Koch
Organization Legal Name UNIVERSITY OF MIAMI NEUROLOGY
Phone Number 3052433100
Gender M
Medical School BOWMAN GRAY SCHOOL OF MEDICINE OF WAKE FOREST UNIVERSITY
Graduation Year 1993
Primary Specialty NEUROLOGY
Group Practice PAC ID 9335131325
Number of Group Practice Members 64
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
100022 JACKSON HEALTH SYSTEM
100079 UNIVERSITY OF MIAMI HOSPITAL & CLINICS-SYLVESTER COMPREHENSIVE C

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
PQRS_EP_130_1 Documentation of Current Medications in the Medical Record 95%
PQRS_EP_131_1 Pain Assessment and Follow-Up 83%
PQRS_EP_154_1 Falls: Risk Assessment 100%
PQRS_EP_155_1 Falls: Plan of Care 91%
PQRS_EP_226_1 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 97%
PQRS_EP_39_1 Screening or Therapy for Osteoporosis for Women Aged 65 Years and Older 28%
PQRS_EP_47_1 Advance Care Plan 68%

Office Location

Street Address 1475 NW 12TH AVE
BOX 016960 M851
City MIAMI
State FL
Zip Code 33136-1002

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780678862 Steven L. Cohn Internal Medicine 1475 Nw 12th Ave, Miami, FL 33136-1002 2005-09-06
1942773064 Precious Janay Reese Nurse Practitioner 1475 Nw 12th Ave, Miami, FL 33136-1002 2019-01-11
1760952766 Karla Ong Mones Family Medicine 1475 Nw 12th Ave, Miami, FL 33136-1002 2018-12-03
1770061970 Ivana Espinosa Nurse Practitioner 1475 Nw 12th Ave, Miami, FL 33136-1002 2018-07-31
1699252262 Yvette Nicole Morlote Nurse Practitioner 1475 Nw 12th Ave, Miami, FL 33136-1002 2018-07-25
1275019796 Yiming Zhong Pathology 1475 Nw 12th Ave, Miami, FL 33136-1002 2018-07-18
1013402767 Hailey Aleesha Lane Nurse Practitioner 1475 Nw 12th Ave, Miami, FL 33136-1002 2018-06-26
1649765520 Laura Baquero Nurse Practitioner 1475 Nw 12th Ave, Miami, FL 33136-1002 2018-06-25
1750898136 Stephanie Gisselle Sosa Nurse Practitioner 1475 Nw 12th Ave, Miami, FL 33136-1002 2018-01-06
1629584594 Krysten Marie Sargenton Nurse Practitioner 1475 Nw 12th Ave, Miami, FL 33136-1002 2017-12-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013402775 Erini Nessim Kostandy Student in an Organized Health Care Education/Training Program 1611 North West 12th Avenue, Miami, FL 33136 2018-06-26
1851886691 David Mauricio Martinez Garza Student in an Organized Health Care Education/Training Program Jackson Memorial Hospital 1611 Nw 12 Avenue, Miami, FL 33136 2018-06-25
1619468154 Anna Maria Mlynarczyk Student in an Organized Health Care Education/Training Program 1611 Nw 12th Ave, Jackson Memorial Hospital, Critical C, Miami, FL 33136 2018-05-21
1376034819 Isabel Castano Social Worker 1120 Nw 14th St # 1209, Miami, FL 33136 2018-05-21
1851889935 Vivian Joan Ortiz Baez Student in an Organized Health Care Education/Training Program East Tower Room 1004, 1611 Nw 12th Avenue, Miami, FL 33136 2018-04-25
1942723739 Rahul Shabadi Student in an Organized Health Care Education/Training Program Jackson Memorial Hospital, 1611 N.w 12th Avenue, Miami, FL 33136 2017-07-24
1669995015 Jessica Aoun Pathology 1611 Nw 12 Avenue Miami, Fl 33136, Holtz Center, Room 2044, Miami, FL 33136 2017-07-18
1356871925 Radames Adamo Zuquello Student in an Organized Health Care Education/Training Program 1400 Nw 10th Avenue, Suite 201, Miami, FL 33136 2017-06-15
1184150351 Dayle Pacheco Behavior Analyst 2454 Sw Apt 15, Miami, FL 33136 2017-05-10
1417482696 Claudia Elissa Landaeta Medina Student in an Organized Health Care Education/Training Program 7611 Nw 12th Avenue, Miami, FL 33136 2017-04-26
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Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194293324 Novel Clinical Research Center, LLC Psychiatry & Neurology 9000 Sw 137th Ave Ste 211, Miami, FL 33186-1436 2018-11-06
1245722974 Alex Sabo Do Pa Psychiatry & Neurology 1900 N Bayshore Dr Apt 4508, Miami, FL 33132-3025 2018-05-30
1407392194 Sarah Hughes Psychiatry & Neurology 1421 Sw 82nd Ct, Miami, FL 33144-5245 2017-01-18
1780001909 Amnerys R Garcia Psychiatry & Neurology 3850 Sw 87th Ave Ste 306, Miami, FL 33165 2014-03-26
1801147574 Neurology and Wellness Center, Inc Psychiatry & Neurology 2433 Sw 147th Ave, Miami, FL 33185-4082 2012-09-21
1275847808 Gelasio Alberto Baras Pier Psychiatry & Neurology 11760 Sw 40th St Ste 502, Miami, FL 33175 2010-08-06
1407173974 Andrew Michael Lerman Psychiatry & Neurology 2601 Sw 37th Ave Ste 600, Miami, FL 33133-2750 2010-04-23
1477795813 Joaquin Salustino Maury Ochoa Psychiatry & Neurology 8200 Sw 117th Ave Ste 416, Miami, FL 33183-4828 2009-03-31
1124260773 Mohan Kottapally Psychiatry & Neurology 1120 Nw 14th St Fl 13, Ste. 1358, Miami, FL 33136-2107 2009-03-28
1982878815 Naymee J Velez-ruiz Psychiatry & Neurology 1150 Nw 14th Street, Miami, FL 33136-3612 2008-04-22
Find all providers in MIAMI

Competitor

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City MIAMI
Zip Code 33136

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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