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

Dr. Mrunal Manohar Koche, MD

Individual provider Emergency Medicine Physician · NPI 1891254389

Dr. Mrunal Manohar Koche, MD is an Emergency Medicine in Brooklyn, New York. Qualified in 2015, 11 years ago. Practices with Cross Lake Emergency Group, LLC, a 57-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2019
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

374 Stockholm St
Brooklyn, NY 11237-4006
Phone: (718) 963-7272
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 010438-01 (NY)

Record details

NPI number1891254389
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 14, 2019
Last updated in NPPESJuly 29, 2020
Certification dateJuly 29, 2020

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Cross Lake Emergency Group, Llc — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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