NPIMap

Individual provider Active NPI

Simi Kohli, M.D., M.SC

  • Family Medicine Physician
  • Everett, WA
National Provider Identifier
1376972711
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD60676918 Issued in WA
Practice address
1424 Broadway
Everett, WA 98201-1720
Phone
(425) 789-2000
Fax
(425) 789-2096
NPI assigned
Nov 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD60676918 WA Primary

Addresses

Primary practice location

1424 Broadway
Everett, WA 98201-1720

Mailing address

8609 Evergreen Way
Everett, WA 98208-2619
Phone (425) 789-3700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161115002198 WA Practitioner - Family Practice 6204115215 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Outpatient Services IncGroup PAC ID 4082868815, 750 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians
Whidbey Island Public Hospital DistrictGroup PAC ID 1658280680, 100 clinicians

Practice addresses (Care Compare)

2600 Compass Rd
Glenview, IL 60026-8001

275 SE Cabot Dr
B101 Whidbeyhealth Primary Care
Oak Harbor, WA 98277-3740
Phone (360) 675-6648

Hospital & facility affiliations

  • Eden Home Health Home health agency, Bellingham, WA, CCN 507105
  • Signature Healthcare at Home Home health agency, Burlington, WA, CCN 507100
  • Whidbeyhealth Medical Center Hospital, Coupeville, WA, CCN 501339
  • Island Hospital Hospital, Anacortes, WA, CCN 500007
  • Skagit Valley Hospital Hospital, Mount Vernon, WA, CCN 500003

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60676918WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Whidbey Island Public Hospital District Current Accepting new patients
Community Health Center of Snohomish County CurrentSince Oct 24, 2016 Accepting new patients
Whidbey Island Public Hospital District CurrentSince Aug 28, 2023 Accepting new patients
Whidbey Island Public Hospital District Family Medicine CurrentSince Aug 28, 2023 Accepting new patients
WGH Primary Care Associates, P.S. Family Medicine Current Accepting new patients
Community Health Center of Snohomish County Family Medicine CurrentSince Oct 24, 2016 Accepting new patients
Whidbey Island Public Hospital District Past Accepting new patients
Providence Health & Services-Wa Past Accepting new patients

Locations

326 S Stillaguamish Ave
Arlington, WA 98223
Phone (360) 435-2144

23320 Highway 99
Edmonds, WA 98026
Phone (425) 640-5500

1019 112th St SW
Everett, WA 98204
Phone (425) 551-6001

8609 Evergreen Way
Everett, WA 98208
Phone (425) 551-6200

930 N Broadway
Everett, WA 98201
Phone (425) 317-0300

1424 Broadway
Everett, WA 98201
Phone (425) 551-1000

4201 Rucker Ave
Everett, WA 98203
Phone (425) 382-4000

4111 194th St SW
Lynnwood, WA 98036
Phone (425) 835-5200

275 SE Cabot Dr
Ste B101
Oak Harbor, WA 98277
Phone (360) 675-6648

Interoperability endpoints

  • Direct secure messaging: simi.kohli@wh.jhie.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Whidbeyhealth Primary Care - CabotOak Harbor, WA, CCN 508584 Rural health clinic Corporate Director Jul 11, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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 10

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": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1376972711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8609 EVERGREEN WAY",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982082619",
            "telephone_number": "425-789-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 BROADWAY",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982011720",
            "telephone_number": "425-789-2000",
            "fax_number": "425-789-2096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHLI",
        "first_name": "SIMI",
        "name_prefix": "Dr.",
        "credential": "M.D., M.SC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-06",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60676918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.