NPIMap

Individual provider Active NPI

Luke Charles Kohan, M.D.

  • Cardiovascular Disease Physician
  • Virginia Beach, VA
National Provider Identifier
1083874630
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0101252036 Issued in VA
Practice address
2075 Glenn Mitchell Dr Ste 400
Virginia Beach, VA 23456-0179
Phone
(757) 252-9365
NPI assigned
Jun 16, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 0101252036 VA Primary
Internal Medicine Physician 207R00000X 2011-01180 NC

Addresses

Primary practice location

2075 Glenn Mitchell Dr Ste 400
Virginia Beach, VA 23456-0179

Mailing address

2075 Glenn Mitchell Dr Ste 400
Virginia Beach, VA 23456-0179
Phone (757) 252-9365

Other practice location 1

Medical Center Blvd
Winston Salem, NC 27101
Phone (336) 713-9800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110928000499 NC Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 9133390834 Reassigns benefits to 4 organizations
I20160620001276 VA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9133390834 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

844 Kempsville Rd
Suite 204
Norfolk, VA 23502-3927
Phone (757) 261-0700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting27
Pacemaker insertion or repair1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Forsyth Memorial Hospital, Inc. Cardiovascular Disease CurrentSince Oct 3, 2011 Accepting new patients
Forsyth Memorial Hospital, Inc Cardiovascular Disease CurrentSince Oct 3, 2011 Accepting new patients
Sentara Medical Group Internal Medicine CurrentSince Jul 11, 2016 Accepting new patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
Moses Cone Medical Services, Inc. Internal Medicine CurrentSince Jun 1, 2014 Accepting new patients
Forsyth Memorial Hospital Inc Cardiovascular Disease CurrentSince Apr 15, 2012 Accepting new patients
Moses Cone Medical Services, Inc. CurrentSince Jun 1, 2014 Accepting new patients
Wake Forest University Health Sciences CurrentSince Jul 19, 2011 Accepting new patients
Louisburg Hospitalists, PLLC Past Accepting new patients

Locations

6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473

1144 N Road St
Elizabeth Cty, NC 27909
Phone (252) 384-4610

1126 N Church St
Ste 300
Greensboro, NC 27401
Phone (336) 547-1700

291 Broad St
Kernersville, NC 27284
Phone (336) 993-8181

940 Golf House Ct E
Whitsett, NC 27377
Phone (336) 449-9848

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

175 Kimel Park Dr
Ste 100
Winston Salem, NC 27103
Phone (336) 277-1811

844 Kempsville Rd
Ste 204
Norfolk, VA 23502
Phone (757) 261-0700

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

2075 Glenn Mitchell Dr
Ste 400
Virginia Beach, VA 23456
Phone (757) 252-9365

Interoperability endpoints

  • Direct secure messaging: lkohan239527@direct.sentara.net

Organizations & group practices 9

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 6

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": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1083874630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 GLENN MITCHELL DR STE 400",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234560179",
            "telephone_number": "757-252-9365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 GLENN MITCHELL DR STE 400",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234560179",
            "telephone_number": "757-252-9365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Medical Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "27101",
            "country_code": "US",
            "telephone_number": "336-713-9800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOHAN",
        "first_name": "LUKE",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-16",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101252036",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2011-01180",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.