Jonathan Frohse Koehler, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

MD.016641 Issued in LA

Practice address

2915 Missouri Ave
Shreveport, LA 71109

Phone

(318) 621-8820

NPI assigned

Jul 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA, UT2 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

Specialty

Pathology

Education

Louisiana State University School of Medicine in New Orleans, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Delta Pathology Group LLCGroup PAC ID 4789639089, 28 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

71.66 of 100Reported as group

Quality

66.66

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• The Delta Pathology Group LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Shreveport, LA
  • NPI 1548258973
  Medicare reassignment Care Compare group
• The Delta Pathology Group LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Shreveport, LA
  • NPI 1871627067
  NPD
• Cache Valley Pathology, LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Logan, UT
  • NPI 1568996072
  NPD
• The Delta Pathology Group, L.L.C.

  • Clinical Medical Laboratory
  • Shreveport, LA
  • NPI 1649279910
  NPD (past)
• Edward Kofi Lartevi MD PMC

  • Emergency Medicine Physician
  • Cleveland, MS
  • NPI 1891968327
  NPD (past)
• Emcare Physician Providers, Inc.

  • Emergency Medicine Physician
  • Cleveland, MS
  • NPI 1366491102
  NPD (past)
• First Intermed Corporation

  • Family Medicine Physician
  • Ridgeland, MS
  • NPI 1346275310
  NPD (past)
• First Intermed Corporation

  • Family Medicine Physician
  • Brandon, MS
  • NPI 1932133931
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1144250705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3780",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388033780",
            "telephone_number": "318-841-9526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 MISSOURI AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71109",
            "telephone_number": "318-621-8820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Quimper Ct",
            "address_2": "3A",
            "address_purpose": "LOCATION",
            "city": "Pikesville",
            "state": "MD",
            "postal_code": "212082740",
            "country_code": "US",
            "telephone_number": "410-486-0692",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Quimper Ct",
            "address_2": "3A",
            "address_purpose": "LOCATION",
            "city": "Pikesville",
            "state": "MD",
            "postal_code": "212082740",
            "country_code": "US",
            "telephone_number": "410-486-0692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOEHLER",
        "first_name": "JONATHAN",
        "middle_name": "FROHSE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MD",
            "license": "D0067018",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "LA",
            "license": "MD.016641",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "016641",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346535",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maegun Knippers
• Sharocka Knowles
• Granada Knox
• Andrew Ko
• Suneetha Koduru, MD
• Tapendra Koirala
• Advayt Kolanthra Anoop, M.D
• Carson Kolbenschlag
• Snigdha Komakula
• Arpitha Komaragiri, MD

• Anatomic Pathology & Clinical Pathology Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Anatomic Pathology & Clinical Pathology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.