Active NPI
Chander M Kohli, MD
- Neurological Surgery Physician
- Youngstown, OH
National Provider Identifier
1356324206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 35034176K
- Practice address
- 540 Parmalee Ave
Suite 310
Youngstown, OH 44510-1716 - Phone
- (330) 747-1420
- Fax
- (330) 747-8979
- NPI assigned
- Nov 23, 2005
- Last updated
- Aug 19, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 35034176K | OH | Primary |
Addresses
Primary practice location
540 Parmalee Ave
Suite 310
Youngstown, OH 44510-1716
Mailing address
540 Parmalee Ave Ste 310
Youngstown, OH 44510-1605
Phone (330) 747-1420
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0249485 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35034176K | OH | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Medical Imaging, Inc. | Past | Accepting new patients | |
| Hermitage Neurology PC | Past | Accepting new patients | |
| Scientific Medical Imaging, Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376870400000",
"number": "1356324206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 PARMALEE AVE STE 310",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445101605",
"telephone_number": "330-747-1420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 PARMALEE AVE",
"address_2": "SUITE 310",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445101716",
"telephone_number": "330-747-1420",
"fax_number": "330-747-8979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOHLI",
"first_name": "CHANDER",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-23",
"last_updated": "2013-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "OH",
"license": "35034176K",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0249485",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.