Individual provider Active NPI

Robert Jeffery Kohlwes, MD, MPH

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1144338278
Registry record updated Mar 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD33886 Issued in WA
Practice address
4150 Clement Street
Veterans Affairs Hospital
San Francisco, CA 94121
Phone
(415) 221-4810
Fax
(415) 750-6974
NPI assigned
Aug 28, 2006
Reactivated
Mar 9, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD33886 WA Primary

Addresses

Primary practice location

4150 Clement Street
Veterans Affairs Hospital
San Francisco, CA 94121

Mailing address

57 Homestead Blvd
Mill Valley, CA 94941-4427
Phone (415) 381-7967

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20140814002804 CA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 9234356221

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD33886WAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299628800000",
    "number": "1144338278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 HOMESTEAD BLVD",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949414427",
            "telephone_number": "415-381-7967",
            "fax_number": "415-750-6982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 CLEMENT STREET",
            "address_2": "VETERANS AFFAIRS HOSPITAL",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94121",
            "telephone_number": "415-221-4810",
            "fax_number": "415-750-6974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHLWES",
        "first_name": "ROBERT",
        "middle_name": "JEFFERY",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2011-03-09",
        "deactivation_date": "2007-07-17",
        "reactivation_date": "2011-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD33886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.