Hilary Koech, MD
Hilary Koech, MD is an Orthopaedic Surgery of the Spine Physician in Royal Palm Beach, FL, registered under NPI 1659833325. This provider registers 4 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 440 N STATE ROAD 7 STE 107, Royal Palm Beach, FL 33411. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| ME182232 | FL | Orthopaedic Surgery of the Spine Physician primary |
| A201651 | CA | Orthopaedic Surgery Physician |
| ME182232 | FL | Adult Reconstructive Orthopaedic Surgery… |
Licences are recorded in 2 states: FL, CA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Practitioner - Orthopedic Surgery
- PAC ID
- 0244566206
- Enrollment ID
- I20250808004020
Medicare enrolment is recorded as approved under the provider type Practitioner - Orthopedic Surgery. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
Licensed in 2 states
This provider holds licences in 2 states: California and Florida. The practice address on file is in Royal Palm Beach, FL, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- ME182232
- Specialty
- Orthopaedic Surgery of the Spine…
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Orthopaedic Surgery of the Spine covers
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. NUCC Health Care Provider Taxonomy, code 207XS0117X
All registered taxonomy codes
This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207XS0117X | Orthopaedic Surgery of the Spine Physician Orthopaedic Surgery of the Spine | ME182232 | FL | primary |
| 207X00000X | Orthopaedic Surgery Physician | A201651 | CA | |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | — | |
| 207XS0114X | Adult Reconstructive Orthopaedic Surgery Physician Adult Reconstructive Orthopaedic Surgery | ME182232 | FL |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1659833325 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Apr 2, 2019 |
| Last updated | Aug 20, 2026 |
| Status | Active |
| Sole proprietor | No |
| Gender | Male |
| Credential | MD |
| Practice address |
440 N STATE ROAD 7 STE 107 Royal Palm Beach, FL 33411 (561) 798-6600 Fax (561) 753-3328 |
| Mailing address |
10131 FOREST HILL BLVD STE 230 Wellington, FL 33414 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 6 | 5 | 9 | 8 | 3 | 3 | 3 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 1 | 9 | 7 | 3 | 6 | 3 | 4 |
Sum = 65 · next multiple of 10 = 70 · check digit = 5 · actual last digit = 5
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.