Individual provider Active NPI

Neeraj Kohli, M.D., M.B.A.

  • Gynecology Physician
  • Wellesley, MA
National Provider Identifier
1003872227
Registry record updated Feb 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
80096 Issued in MA
Practice address
70 Walnut St
Suite 101
Wellesley, MA 02481-2102
Phone
(617) 340-6446
Fax
(617) 674-3440
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 80096 MA Primary

Addresses

Primary practice location

70 Walnut St
Suite 101
Wellesley, MA 02481-2102

Mailing address

70 Walnut St
Suite 101
Wellesley, MA 02481-2102
Phone (617) 340-6446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040601000800 MA Practitioner - Obstetrics/GynecologyPractitioner - Other (Physician) 5193707586 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Boston University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New England Center for Urogynecology LLCGroup PAC ID 6305014358, 3 clinicians

Practice addresses (Care Compare)

70 Walnut St
Suite 101
Wellesley, MA 02481-2137
Phone (617) 340-6446

Hospital & facility affiliations

  • Newton-Wellesley Hospital Hospital, Newton, MA, CCN 220101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Martha'S Vineyard Hospital, Inc. CurrentSince Jul 1, 2016 Accepting new patients
Martha'S Vineyard Hospital, Inc. CurrentSince Jul 1, 2016 Accepting new patients
Boston Urogyn Current Accepting new patients
Brigham and Womens Physicians Organization Inc Gynecology Past Accepting new patients
Brigham & Womens Physicians Organization Inc Past Accepting new patients

Locations

75 Francis St
Boston, MA 02115

1 Hospital Rd
Oak Bluffs, MA 02557
Phone (508) 684-4500

70 Walnut St
Ste 101
Wellesley Hills, MA 02481
Phone (617) 340-6446

70 Walnut St
Ste 100
Wellesley Hills, MA 02481

Interoperability endpoints

  • Direct secure messaging: kohli.neeraj.kohli@direct.partners.masshiway.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329868800000",
    "number": "1003872227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 WALNUT ST",
            "address_2": "SUITE 101",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024812102",
            "telephone_number": "617-340-6446",
            "fax_number": "617-674-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 WALNUT ST",
            "address_2": "SUITE 101",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024812102",
            "telephone_number": "617-340-6446",
            "fax_number": "617-674-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHLI",
        "first_name": "NEERAJ",
        "credential": "M.D., M.B.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2012-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MA",
            "license": "80096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley, MA

Sources for this page

Verify at the official NPI Registry.