Bettina Kohaut, MD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

ME86428 Issued in FL

Practice address

1510 Riverplace Blvd
Jacksonville, FL 32207-9017

Phone

(904) 346-0050

Fax

(904) 346-0080

NPI assigned

Jul 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Obstetrics/Gynecology

Education

Michigan State University College of Human Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florida Woman Care LLCGroup PAC ID 5395807218, 607 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088

Merit-based Incentive Payment System (MIPS)

Final score

88.76 of 100Reported as group

Quality

84.84

Promoting interoperability

100

Improvement activities

40

Cost

77.7

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• Direct secure messaging: bettina.kohaut.1@2183.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/2183/brand/21/csg/1/fhir/r4

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.

• Florida Woman Care, LLC

  • Obstetrics & Gynecology Physician
  • Tampa, FL
  • NPI 1386823243
  Medicare reassignment Care Compare group NPD
• Faben Obstetrics and Gynecology LLC

  • Obstetrics & Gynecology Physician
  • Jacksonville, FL
  • NPI 1902475569
  NPD (past)
• Florida Woman Care LLC

  • Obstetrics & Gynecology Physician
  • Jacksonville, FL
  • NPI 1356648547
  NPD (past)
• Florida Woman Care LLC

  • Obstetrics & Gynecology Physician
  • Jacksonville, FL
  • NPI 1447829007
  NPD (past)
• Florida Woman Care LLC

  • Obstetrics & Gynecology Physician
  • Jacksonville, FL
  • NPI 1700455367
  NPD (past)
• Womencare PA

  • Specialist
  • Orlando, FL
  • NPI 1366529042
  NPD (past)

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

• Southern Baptist Hospital of Florida Inc

  • General Acute Care Hospital
  • Jacksonville, FL
  • NPI 1578620449
  Care Compare affiliation

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1366463697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 MERRIMAC AVE STE 1506",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322101850",
            "telephone_number": "904-346-0500",
            "fax_number": "904-346-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 RIVERPLACE BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322079017",
            "telephone_number": "904-346-0050",
            "fax_number": "904-346-0080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4425 Merrimac Ave Ste 1506",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322101850",
            "country_code": "US",
            "telephone_number": "904-346-0500",
            "fax_number": "904-346-0080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4181 Southpoint Dr E Ste 300",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322168083",
            "country_code": "US",
            "telephone_number": "904-346-0500",
            "fax_number": "904-346-0080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOHAUT",
        "first_name": "BETTINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME86428",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "ME86428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269892700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shirley M Koehler, PH.D.
• Susan Koehler, MD
• Crystal Chadderton Koenig, M.ED.
• Dayna Margaret Demarco Koenig, APRN
• Adam David Koenigsberg, MD
• Ellen Kohl
• Jo Anna Kohler, PA
• Daniel Gerard Kohm, MD
• Mary Jane Francesca Kohm, MD
• Shawnya Kohn, RN

• Gynecology Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.