Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jason R Koch, PA-C

Individual provider Physician Assistant · NPI 1922401066

Jason R Koch, PA-C is a Physician Assistant in Rapid City, South Dakota. Qualified in 2014, 12 years ago. Practices with Black Hills Surgical Hospital LLC, a 169-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Dakota.

Years since qualifying
12
Licensed in
SD
In the registry since
2014
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

7220 Mount Rushmore Rd
Rapid City, SD 57702
Phone: (605) 341-1414
Fax: (605) 341-7062
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2929 5th St, Rapid City, SD 57701-7363 — (605) 755-4150

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1144 (SD)

Record details

NPI number1922401066
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 3, 2014
Last updated in NPPESMay 22, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Black Hills Surgical Hospital Llc — 169 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Rapid City