Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mark Koch, MD

Individual provider Family Medicine Physician · NPI 1174512651

Dr. Mark Koch, MD is a Family Practice in Fort Worth, Texas. Graduated from University of Texas Medical School at San Antonio in 1992, 34 years ago. Practices with Acclaim Physician Group Inc, a 523-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
34
Trained at
University of Texas Medical School at San Antonio
Licensed in
TX
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1500 S Main St Dept OF Family Medicine
Fort Worth, TX 76104-4917
Phone: (817) 927-1200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence J4274 (TX)

Record details

NPI number1174512651
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 18, 2005
Last updated in NPPESJune 3, 2016
Mailing addressPo Box 911294, Dallas, TX 75391-1294

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated 1992 (34 years in practice)
Group practice Acclaim Physician Group Inc — 523 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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