Carolyn G Kochert, MD

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

01031275A Issued in IN

Practice address

3218 Daugherty Drive
Suite 110
Lafayette, IN 47909-3997

Phone

(765) 446-5055

Fax

(765) 446-5057

NPI assigned

Mar 16, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 1, 2015 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Kochert Pain Institute LLC

  • Custodial Care Facility
  • Lafayette, IN
  • NPI 1134519283
  NPD (past) Authorized official

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324598400000",
    "number": "1306815915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3218 DAUGHERTY DR",
            "address_2": "SUITE 110",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479093997",
            "telephone_number": "765-446-5055",
            "fax_number": "765-446-5057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3218 DAUGHERTY DRIVE",
            "address_2": "SUITE 110",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479093997",
            "telephone_number": "765-446-5055",
            "fax_number": "765-446-5057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCHERT",
        "first_name": "CAROLYN",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-16",
        "last_updated": "2011-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01031275A",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IN",
            "license": "01031275A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000585033",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11559907",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APIN",
            "identifier": "000000585033",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mindy M Knowles, LCSW
• Renee J Knutson, MD
• Brian Kobak, PT, DPT
• Kochert Pain Institute LLC
• Kochert Pain Institute, LLC
• Nina Kodros, PA-C
• Abigail Koesters
• Andrew Sanford Koivuniemi, M.D./PH.D.
• Jaimie Kolanowski, PA-C
• Kieran Kolouch

• Pain Medicine (Anesthesiology) Physician in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Pain Medicine (Anesthesiology) Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.