Doctor profile · Federal record
Dr. Kelly Koch, MD
Surgical Oncology Physician (CMS: Surgical Oncology) · Surgery Physician · Lakeland, FL
- NPI 1922458223
- Accepts Medicare
- 10 yrs in practice
- Licensed in 2 states
- Female
- Solo practice
- No sanctions
Practice & contact
Operates at 4 locations .
- Primary practice
-
3525 Lakeland Hills Blvd
Lakeland, FL 33805
(863) 687-1100 - Additional location
-
1324 Lakeland Hills Blvd
Lakeland, FL 33805 - Additional location
-
455 Emerald Avenue
Lakeland, FL 33805
(863) 687-1000 - Additional location
-
1 Barnes Jewish Hospital Plz
Saint Louis, MO 631101003
(314) 362-5000 - Mailing address
-
660 S Euclid Ave, Campus Box 8109
Saint Louis, MO 631101010
Show 1 more location
Credentials & registration
- NPI registered
- June 2016 — 10 yrs on file
- Profile last updated
- October 29, 2024
- Year of graduation
- 2016 — 10 yrs since
- Specialty taxonomy
- 2086X0206X — NUCC code
- State licenses (2)
- Florida #ME163026 · Missouri #2016017321
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1922458223. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$225
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Boston Scientific Corporation | 1 | $125.00 | |
| SpringWorks Therapeutics, INC. | 1 | $99.67 |
By nature of payment
Frequently asked questions
What is Dr. Kelly Koch's medical specialty?
Dr. Kelly Koch practices Surgical Oncology Physician in Lakeland, FL.
Where does Dr. Kelly Koch practice?
Dr. Kelly Koch practices at 3525 Lakeland Hills Blvd, Lakeland, FL 33805. Office phone: 8636871100.
What is Dr. Kelly Koch's NPI?
Dr. Kelly Koch's National Provider Identifier (NPI) is 1922458223, issued by NPPES.
Does Dr. Kelly Koch accept Medicare assignment?
Yes. Dr. Kelly Koch accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.