NPIMap

Individual provider Active NPI

Matthew John Kohls, PA-C

  • Physician Assistant
  • Kutztown, PA
National Provider Identifier
1023698255
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
026081 Issued in NY
Practice address
15065 Kutztown Rd Ste 200
Kutztown, PA 19530-9220
Phone
(484) 526-1735
NPI assigned
Apr 12, 2021
Last updated
Oct 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA061741 PA
Physician Assistant 363A00000X 026081 NY Primary
Physician Assistant 363A00000X OA005309 PA

Addresses

Primary practice location

15065 Kutztown Rd Ste 200
Kutztown, PA 19530-9220

Mailing address

15065 Kutztown Rd Ste 200
Kutztown, PA 19530-9220
Phone (484) 526-1735

Other practice location 1

153 Brodhead Road
Bethlehem, PA 18017
Phone (484) 526-1735

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230515000700 PA Practitioner - Physician Assistant 5597167734 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians
St Luke's HospitalGroup PAC ID 0648189688, 100 clinicians

Practice addresses (Care Compare)

1021 Park Ave
Quakertown, PA 18951-0130

1104 N St
St Luke's Care Now
Jim Thorpe, PA 18229-1717
Phone (570) 325-2400

153 Brodhead Rd
Bethlehem, PA 18017-8931
Phone (484) 822-5221

1736 Hamilton St
Allentown, PA 18104-5656
Phone (484) 526-8142

1736 W Hamilton St
Allentown, PA 18104-5656
Phone (610) 954-3571

2402 Macarthur Rd
Whitehall, PA 18052-3810
Phone (484) 426-2026

250 S 21St St
Easton, PA 18042-3851

3000 St Lukes Dr
Quakertown, PA 18951-1696
Phone (484) 526-3950

501 Cetronia Rd
Allentown, PA 18104-9569

521 Cetronia Rd
Allentown, PA 18104-9569
Phone (484) 526-8142

701 Ostrum St
Fountain Hill, PA 18015-1153

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
OA005309PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Hospital Monroe Campus CurrentSince Oct 26, 2025 Accepting new patients
GSL Hospital CurrentSince Oct 26, 2025 Accepting new patients
The Carbon-Schuylkill Community Hospital, Inc. Current Accepting new patients
St. Luke's Quakertown Hospital CurrentSince Oct 26, 2025 Accepting new patients
St Luke Hospital CurrentSince Oct 26, 2025 Accepting new patients
St. Luke's Quakertown Hospital CurrentSince Oct 26, 2025 Accepting new patients
St. Luke's Physician Group, Inc. CurrentSince May 29, 2023 Accepting new patients
St Luke's Hospital CurrentSince Oct 26, 2025 Accepting new patients
St. Luke's Hospital Monroe Campus CurrentSince Oct 26, 2025 Accepting new patients
St. Luke's Hospital Monroe Campus Current Accepting new patients
The Carbon Schuylkill Community Hospital, Inc. CurrentSince Oct 26, 2025 Accepting new patients
St Luke's Physician Group Inc CurrentSince May 29, 2023 Accepting new patients
St. Luke's Hospital Current Accepting new patients
St. Luke's Physician Group, Inc. Past Accepting new patients
Gslpg Inc Past Accepting new patients

Locations

501 Cetronia Rd
Ste 125
Allentown, PA 18104
Phone (484) 426-2055

153 Brodhead Rd
Bethlehem, PA 18017
Phone (484) 526-3200

111 Route 715
Brodheadsvlle, PA 18322
Phone (272) 212-0420

701 Ostrum St
Ste 602
Fountain Hill, PA 18015
Phone (610) 807-9400

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

1104 North St
Jim Thorpe, PA 18229
Phone (570) 325-2400

15065 Kutztown Rd
Ste 200
Kutztown, PA 19530

100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000

2650 Woodglen Rd
Pottsville, PA 17901
Phone (272) 639-5755

2363 MacArthur Rd
Whitehall, PA 18052
Phone (484) 822-5154

Interoperability endpoints

  • Direct secure messaging: matthew.kohls@slpg.direct-sluhn.org

Organizations & group practices 17

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

View all 17

Hospital & facility affiliations 8

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": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1023698255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15065 KUTZTOWN RD STE 200",
            "city": "KUTZTOWN",
            "state": "PA",
            "postal_code": "195309220",
            "telephone_number": "484-526-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15065 KUTZTOWN RD STE 200",
            "city": "KUTZTOWN",
            "state": "PA",
            "postal_code": "195309220",
            "telephone_number": "484-526-1735"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "153 Brodhead Road",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "18017",
            "country_code": "US",
            "telephone_number": "484-526-1735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOHLS",
        "first_name": "MATTHEW",
        "middle_name": "JOHN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-12",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA061741",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "026081",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA005309",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kutztown, PA

Sources for this page

Verify at the official NPI Registry.