Chris Roman Koebele, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

28342 Issued in WV

Practice address

16605 Chestnut Glen PL
Louisville, KY 40245-6121

Phone

(502) 709-0430

NPI assigned

Apr 10, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV, KY2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Gim of Kentucky PLLC

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1326411026
  Medicare reassignment NPD
• Hospitalist Medicine Physicians of West Virginia, PLLC

  • Internal Medicine Physician
  • Wheeling, WV
  • NPI 1649575101

  Family Medicine

  Medicare reassignment NPD
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1033505516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16605 CHESTNUT GLEN PL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402456121",
            "telephone_number": "502-709-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16605 CHESTNUT GLEN PL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402456121",
            "telephone_number": "502-709-0430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 MacCorkle Ave SE",
            "address_2": "CAMC Family Medicine Center",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253041227",
            "country_code": "US",
            "telephone_number": "202-378-7325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2500 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Martinsburg",
            "state": "WV",
            "postal_code": "25401",
            "country_code": "US",
            "telephone_number": "304-264-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOEBELE",
        "first_name": "CHRIS",
        "middle_name": "ROMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-10",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "28342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Koch, APRN
• Bradley E Kocian, MD
• Kociolek Chiropractic Center, LLC (Cardinal Chiropractic and Massage)
• Charles Matthew Kodner, MD
• Rachael C Koebel
• Jean Dunman Koehler, PH.D.
• Jeremy Koenemann
• Grace Koenig, OTR/L
• Heidi M Koenig, MD
• Stephanie Koenig

• Family Medicine Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.