Daniel Joseph Koehn, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

23565 Issued in KS

Practice address

2401 S Tucker Ave
Suite 2
Pittsburg, KS 66762-6609

Phone

(620) 235-1043

Fax

(620) 231-6555

NPI assigned

Sep 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

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

Specialty

Family Practice

Education

University of Kansas School of Med (KC/Wich/Sal), 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Angels Care Home Health Home health agency, Chanute, KS, CCN 178060
• Mercy Hospital Pittsburg, Inc Hospital, Pittsburg, KS, CCN 170006

Procedures performed for Medicare patients

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.

• Pittsburg Family Medicine LLC

  • Family Medicine Physician
  • Pittsburgh, KS
  • NPI 1740398924
  Medicare reassignment Authorized official
• Ascension Via Christi Hospital Pittsburg, Inc.

  dba Professional Services

  • Internal Medicine Physician
  • Pittsburg, KS
  • NPI 1760408975
  Medicare reassignment NPD
• Community Health Center of Southeast Kansas Inc

  • Federally Qualified Health Center (FQHC)
  • Pittsburg, KS
  • NPI 1669474425
  Medicare reassignment NPD
• Mercy Clinic Pittsburg LLC

  • Internal Medicine Physician
  • Pittsburg, KS
  • NPI 1912751884
  Medicare reassignment NPD
• Community Health Center of Southeast Kansas Inc

  • Federally Qualified Health Center (FQHC)
  • Baxter Springs, KS
  • NPI 1487351086
  NPD
• Pathology Laboratory Associates, Inc.

  • Anatomic Pathology & Clinical Pathology Physician
  • Tulsa, OK
  • NPI 1750314076
  NPD
• Regional Medical Laboratory, Inc

  • Clinical Medical Laboratory
  • Tulsa, OK
  • NPI 1497773337
  NPD
• Ascension Via Christi Hospital Pittsburg, Inc.

  • General Acute Care Hospital
  • Pittsburg, KS
  • NPI 1831125087
  NPD (past)
• Mercy Hospital Pittsburg Inc

  • General Acute Care Hospital
  • Pittsburg, KS
  • NPI 1639921430
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Hospital Pittsburg Inc

  • General Acute Care Hospital
  • Pittsburg, KS
  • NPI 1639921430
  Care Compare affiliation
• Wheatland Health Services, LLC

  dba Angels Care Home Health

  • Home Health Agency
  • Chanute, KS
  • NPI 1275591760
  Care Compare affiliation

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164528220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 S TUCKER AVE",
            "address_2": "SUITE 2",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667626609",
            "telephone_number": "620-235-1043",
            "fax_number": "620-231-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 S TUCKER AVE",
            "address_2": "SUITE 2",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667626609",
            "telephone_number": "620-235-1043",
            "fax_number": "620-231-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEHN",
        "first_name": "DANIEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "23565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100126820C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trista Dawn King, APRN
• Jessica Dawn Kirk, FNP
• Amanda Kirkland, LMSW
• Laura Klusener, OTR
• Erin Marie Knox, PT, DPT
• Tamara Kolacny, PHARMD
• Sandra L Krusich, LSCSW
• Alex Kuhlman, DPT
• Skyler Kuntzman, OTD, OTR
• Labette County Medical Center (Labette Health Pittsburg Clinic)

• Family Medicine Physician in Pittsburg, KS
• Providers in Pittsburg, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.