Individual provider Active NPI

Susan M. Kohli, MD

  • Internal Medicine Physician
  • Exton, PA
National Provider Identifier
1184836918
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD434118 Issued in PA
Practice address
93 W Devon Dr
Suite 100
Exton, PA 19341-3062
Phone
(610) 321-0200
Fax
(610) 594-2625
NPI assigned
May 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 MD434118 PA Primary

Addresses

Primary practice location

93 W Devon Dr
Suite 100
Exton, PA 19341-3062

Mailing address

412 Creamery Way
Suite 400
Exton, PA 19341-2551
Phone (610) 594-7590

Other identifiers 1

IdentifierTypeStateIssuer
102380190MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20091125000143 PA Practitioner - Internal Medicine 2264571603 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Pittsburgh School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pentahealth, LLCGroup PAC ID 9537586672, 67 clinicians

Practice addresses (Care Compare)

217 Reeceville Rd
Suite a
Coatesville, PA 19320-1572
Phone (610) 269-9448

Hospital & facility affiliations

  • Chester County Hospital Hospital, West Chester, PA, CCN 390179
  • Lancaster General Hospital Hospital, Lancaster, PA, CCN 390100
  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD434118PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pentahealth, LLC Internal Medicine CurrentSince Oct 1, 2020 Accepting new patients

Locations

217 Reeceville Rd
Ste A
Coatesville, PA 19320
Phone (610) 269-9448

412 Creamery Way
Ste 400
Exton, PA 19341
Phone (610) 269-9448

93 W Devon Dr
Ste 100
Exton, PA 19341
Phone (610) 321-0200

4667 West Chester Pike
Newtown Square, PA 19073
Phone (610) 356-7870

520 Maple Ave
Ste 4
West Chester, PA 19380
Phone (610) 430-8200

915 Old Fern Hill Rd
Bldg D
West Chester, PA 19380
Phone (610) 235-4100

Interoperability endpoints

  • Direct secure messaging: susankohli@gmacc.allscriptsdirect.net

Organizations & group practices 1

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": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1184836918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 CREAMERY WAY",
            "address_2": "SUITE 400",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412551",
            "telephone_number": "610-594-7590",
            "fax_number": "610-594-2625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 W DEVON DR",
            "address_2": "SUITE 100",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193413062",
            "telephone_number": "610-321-0200",
            "fax_number": "610-594-2625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHLI",
        "first_name": "SUSAN",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD434118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102380190",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Exton, PA

Sources for this page

Verify at the official NPI Registry.