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

Susannah K Koch, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1063906352

Susannah K Koch, MD is an Obstetrics/Gynecology in Shiloh, Illinois. Graduated from University of Iowa, Rj & L Carver College of Medicine in 2018, 8 years ago. Practices with Fairview Heights Medical Group SC, a 448-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Missouri.

Years since qualifying
8
Trained at
University of Iowa, Rj & L Carver College of Medicine
Licensed in
IL, MO
In the registry since
2018
Specialties on file
2
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

1414 Cross St Ste 240
Shiloh, IL 62269-2988
Phone: (618) 607-3800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 — (314) 362-5000

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 036161310 (IL)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 2018019106 (MO)

Record details

NPI number1063906352
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 19, 2018
Last updated in NPPESAugust 2, 2022
Certification dateAugust 2, 2022
Mailing address1414 Cross St Ste 240, Shiloh, IL 62269-2988

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolUNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Fairview Heights Medical Group Sc — 448 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Shiloh