Active NPI
Corinne E Kohler, MD
- Family Medicine Physician
- Champaign, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036093780
- Practice address
- 819 Bloomington Rd
Champaign, IL 61820-2101 - Phone
- (217) 356-1558
- NPI assigned
- Feb 21, 2006
- Last updated
- Oct 25, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036093780 | IL | Primary |
Addresses
Primary practice location
819 Bloomington Rd
Champaign, IL 61820-2101
Mailing address
819 Bloomington Rd
Champaign, IL 61820-2101
Phone (217) 356-1558
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036093780 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036093780 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Improvement Center | Current | Accepting new patients | |
| Community Health Improvement Center | Current | Accepting new patients | |
| Promise Healthcare NFP | Current | Accepting new patients | |
| Promise Healthcare NFP | Current | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
819 Bloomington Rd
Champaign, IL 61820
Phone (217) 356-1558
2905 N Main St
Decatur, IL 62526
Phone (217) 877-9117
320 E Central Ave
Decatur, IL 62521
Phone (217) 877-4694
1002 S Race St
Urbana, IL 61801
Phone (217) 239-4220
Organizations & group practices 5
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.
-
dba Community Health Improvement Center Health Dept Satellite
- Federally Qualified Health Center (FQHC)
- Decatur, IL
- NPI 1467784090
-
dba Frances Nelson Health Center
- Federally Qualified Health Center (FQHC)
- Champaign, IL
- NPI 1578821005
-
dba Crossing Healthcare
- Federally Qualified Health Center (FQHC)
- Decatur, IL
- NPI 1194794917
-
dba Promise Healthcare - Ready School
- Federally Qualified Health Center (FQHC)
- Champaign, IL
- NPI 1801687728
-
dba Gibson Area Hospital and Health Services
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319500800000",
"number": "1053386250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "819 BLOOMINGTON RD",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618202101",
"telephone_number": "217-356-1558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "819 BLOOMINGTON RD",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618202101",
"telephone_number": "217-356-1558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOHLER",
"first_name": "CORINNE",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-21",
"last_updated": "2011-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036093780",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036093780",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Champaign, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; 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.