Individual provider Active NPI

Thomas D Kohl, MD

  • Family Medicine Physician
  • Lebanon, PA
National Provider Identifier
1265425706
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD066085L Issued in PA
Practice address
1701 Cornwall Rd
Ste 201
Lebanon, PA 17042-7480
Phone
(717) 675-1750
Fax
(717) 675-1787
NPI assigned
Aug 30, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 4

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 11

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

Medicare Care Compare profile

Specialty
Family Practice
Education
Pennsylvania State University College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tower Health Medical Group (578 clinicians)

Practice addresses (Care Compare)

1020 Grings Hill Rd
Reading, PA 19608-8844
Phone 61089885758844

2610 Keiser Blvd
Wyomissing, PA 19610-3333
Phone (484) 750-3950

301 S 7TH Ave
Radiology Tower Health Medical Group
West Reading, PA 19611-1442
Phone (484) 628-8112

3855 Penn Ave
Sinking Spring, PA 19608-1174
Phone (484) 628-1480

Hospital & facility affiliations

  • Enhabit Home Health Home health agency · Wyomissing, PA · CCN 398051
  • Reading Hospital Hospital · West Reading, PA · CCN 390044
  • Surgical Institute of Reading Hospital · Wyomissing, PA · CCN 390316
  • Penn State Health St. Joseph Hospital · Reading, PA · CCN 390096
  • Pottstown Hospital Hospital · Pottstown, PA · CCN 390123

Merit-based Incentive Payment System (MIPS)

Final score
84.71 of 100 (group)
Quality
73.34
Promoting interoperability
97
Improvement activities
40
Cost
78.18

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20041102000554 PA Practitioner - Family Practice 3173585171 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD066085LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tower Health Medical Group Current
since May 1, 2015
Accepting new patients
Tower Health Medical Group Current
since May 1, 2015
Accepting new patients
Berkshire Family Medicine, PC Past
since Sep 9, 2004
Accepting new patients

Locations

495 W Ridge Pike
Royersford, PA 19468
Phone (610) 495-0400

301 S 7th Ave
Ste 130
West Reading, PA 19611
Phone (610) 988-4630

6 Spruce St
West Reading, PA 19611
Phone (484) 628-8269

301 S 7th Ave
Ste 200
West Reading, PA 19611
Phone (484) 626-8198

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

1350 Broadcasting Rd
Ste 201
Wyomissing, PA 19610
Phone (610) 685-9600

950B N Wyomissing Blvd
Wyomissing, PA 19610
Phone (610) 898-1820

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X MD066085L PA
Family Medicine Physician 207Q00000X MD066085L PA Primary

Addresses

NPPES NPI Registry

Primary practice location

1701 Cornwall Rd
Ste 201
Lebanon, PA 17042-7480

Mailing address

1701 Cornwall Rd
Ste 201
Lebanon, PA 17042-7480
Phone (717) 675-1750

Other practice location 1

1350 Broadcasting Rd
Suite 201
Wyomissing, PA 19610-3220
Phone (610) 685-9600

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
001967961MedicaidPA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 5, 2021.

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1265425706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 CORNWALL RD",
            "address_2": "STE 201",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427480",
            "telephone_number": "717-675-1750",
            "fax_number": "717-675-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 CORNWALL RD",
            "address_2": "STE 201",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427480",
            "telephone_number": "717-675-1750",
            "fax_number": "717-675-1787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 Broadcasting Rd",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Wyomissing",
            "state": "PA",
            "postal_code": "196103220",
            "country_code": "US",
            "telephone_number": "610-685-9600",
            "fax_number": "610-685-6700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOHL",
        "first_name": "THOMAS",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "PA",
            "license": "MD066085L",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD066085L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001967961",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, PA

Sources for this page

Verify at the official NPI Registry.