Individual provider Active NPI

David Wolters Kohl, MD

  • Interventional Cardiology Physician
  • Pensacola, FL
National Provider Identifier
1174516454
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME46474 Issued in FL
Practice address
5151 N 9TH Ave Ste 200
Pensacola, FL 32504-8721
Phone
(850) 416-4970
Fax
(850) 416-4969
NPI assigned
Aug 23, 2005
Last updated
Jul 27, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X ME46474 FL Primary

Addresses

Primary practice location

5151 N 9TH Ave Ste 200
Pensacola, FL 32504-8721

Mailing address

4205 Belfort Rd Ste 4015
Jacksonville, FL 32216-3623
Phone (904) 450-6063

Other identifiers 1

IdentifierTypeStateIssuer
035039700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20080625000686 FL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 2668372335 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME46474FLMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinellas Ekg Interpreters Inc CurrentSince Jan 31, 2008 Accepting new patients
Sacred Heart Health System, Inc. CurrentSince Jul 16, 2021 Accepting new patients
Morton Plant Mease Health Services Inc CurrentSince Feb 1, 2013 Accepting new patients
Sacred Heart Health System Inc CurrentSince Jul 16, 2021 Accepting new patients
Cardiology Interpreters Inc CurrentSince Mar 15, 2010 Accepting new patients
St. Anthony's Professional Buildings & Services, Inc CurrentSince Dec 1, 2011 Accepting new patients
Morton Plant Mease Health Services Inc CurrentSince Feb 1, 2013 Accepting new patients
St. Anthony's Professional Buildings & Services, Inc Current Accepting new patients
St. Anthony's Professional Buildings & Services, Inc CurrentSince Dec 1, 2011 Accepting new patients
Sacred Heart Health System, Inc. Current Accepting new patients

Locations

601 Main St
Dunedin, FL 34698
Phone (727) 461-1133

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

2025 Indian Rocks Rd S
Largo, FL 33774
Phone (727) 581-9474

4501 N Davis Hwy
Ste A
Pensacola, FL 32503
Phone (850) 476-9000

5151 N 9th Ave
Ste 200
Pensacola, FL 32504
Phone (850) 416-4188

8787 Bryan Dairy Rd
Seminole, FL 33777
Phone (727) 391-4758

5398 Park St N
St Petersburg, FL 33709
Phone (727) 544-1441

900 Carillon Pkwy
St Petersburg, FL 33716
Phone (727) 556-2662

2102 Trinity Oaks Blvd
Trinity, FL 34655
Phone (727) 372-4000

Interoperability endpoints

  • Direct secure messaging: david.kohl.1@9582.direct.athenahealth.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1174516454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 BELFORT RD STE 4015",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322163623",
            "telephone_number": "904-450-6063",
            "fax_number": "904-539-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 N 9TH AVE STE 200",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048721",
            "telephone_number": "850-416-4970",
            "fax_number": "850-416-4969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHL",
        "first_name": "DAVID",
        "middle_name": "WOLTERS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME46474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035039700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.