Individual provider Active NPI

James S Kohn, M.D.

  • Surgery Physician
  • Dallas, TX
National Provider Identifier
1316901424
Registry record updated Aug 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
R3777 Issued in TX
Practice address
9330 Poppy Dr
Suite 406
Dallas, TX 75218-4621
Phone
(214) 321-1662
NPI assigned
Apr 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X R3777 TX Primary

Addresses

Primary practice location

9330 Poppy Dr
Suite 406
Dallas, TX 75218-4621

Mailing address

8111 LBJ Fwy
Ste 835
Dallas, TX 75251-1313
Phone (972) 437-2577

Other identifiers 1

IdentifierTypeStateIssuer
030177201MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120523000273 TX Practitioner - General SurgeryPractitioner - Vascular Surgery 3870756208 Reassigns benefits to 1 organization
I20180731002863 OK Practitioner - General Surgery 3870756208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
Tufts University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9330 Poppy Dr
Suite 406
Dallas, TX 75218-4625
Phone (214) 321-1662

Hospital & facility affiliations

  • Baylor Scott and White Medical Center Sunnyvale Hospital, Sunnyvale, TX, CCN 670060
  • White Rock Medical Center Hospital, Dallas, TX, CCN 450678
  • Dallas Regional Medical Center Hospital, Mesquite, TX, CCN 450688
  • Advanced Dallas Hospitals and Clinics Hospital, Dallas, TX, CCN 670321

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux24
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R3777TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Oklahoma Communities CurrentSince Aug 22, 2018 Accepting new patients
James S. Kohn, M.D., PA CurrentSince Jan 1, 2012 Accepting new patients
Charles a Iliya MD PA Surgery Past Accepting new patients

Locations

1011 14th Ave NW
Ardmore, OK 73401
Phone (580) 220-6658

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

9330 Poppy Dr
Ste 406
Dallas, TX 75218
Phone (214) 321-1662

9330 Poppy Dr
Ste 201
Dallas, TX 75218
Phone (214) 324-3875

Organizations & group practices 3

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 5

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": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375315200000",
    "number": "1316901424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8111 LBJ FWY",
            "address_2": "STE 835",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752511313",
            "telephone_number": "972-437-2577",
            "fax_number": "972-644-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 POPPY DR",
            "address_2": "SUITE 406",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752184621",
            "telephone_number": "214-321-1662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHN",
        "first_name": "JAMES",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2013-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "R3777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030177201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.