IndividualActive
Ezra Koch, MD
NPI 1861016024 · General Practice Physician · Mandan, ND
Ezra Koch, MD is a General Practice Physician provider in Mandan, ND (NPI 1861016024).
Provider details
- NPI number
- 1861016024
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 19404 (ND)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4108 39th Ave Nw
Mandan, ND 58554-1253
Phone: (701) 426-4291
Street-level locationGet directions
Mailing address
4108 39th Ave Nw
Mandan, ND 58554-1253
Registry dates
- Enumerated
- 2020-06-03
- Last updated
- 2023-03-01
- Certified
- 2023-03-01
Frequently asked questions
- What is Ezra Koch's NPI number?
- Ezra Koch's National Provider Identifier (NPI) is 1861016024, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ezra Koch's specialty?
- Ezra Koch is listed in the NPPES registry with a primary specialty of General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Ezra Koch located?
- Ezra Koch's practice location on file with NPPES is 4108 39th Ave Nw, Mandan, ND 58554-1253.
- What is Ezra Koch's phone number?
- The practice phone number listed in the NPPES registry for Ezra Koch is (701) 426-4291.
- Is Ezra Koch's NPI active?
- Yes — Ezra Koch's NPI (1861016024) is active in the NPPES registry as of the last update on 2023-03-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.