Active NPI
Scott Fraser Kohlert, MD
- Otolaryngology Physician
- Tyler, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- R5582
- Practice address
- 910 E Houston St Ste 530
Tyler, TX 75702-8366 - Phone
- (903) 606-4300
- NPI assigned
- Mar 2, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | R5582 | TX | Primary |
Addresses
Primary practice location
910 E Houston St Ste 530
Tyler, TX 75702-8366
Mailing address
1136 E Grande Blvd
Tyler, TX 75703-3982
Phone (903) 592-5601
Other practice location 1
1136 E Grande Blvd
Tyler, TX 75703-3982
Phone (903) 592-5601 ext. 250
Other practice location 2
501 Saunders Ave Ste 320
Tyler, TX 75702-7524
Phone (903) 606-5140
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1N9534 | Other | TX | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
18780 Interstate 20
Canton, TX 75103-3593
Phone (903) 567-4841
5321 S FM
14 Christus Trinity Clinic
Holly Lake Ranch, TX 75765-4839
Phone (903) 769-2990
620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900
630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560
800 E Dawson St
Christus Trinity Clinic
Tyler, TX 75701-2036
Phone (903) 510-1186
PO Box
Suite 846098
Dallas, TX 75284-6098
Hospital & facility affiliations
- Christus Mother Frances Hospital
- University of Texas Health Science Center at Tyler
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 212 |
| Melanoma (skin cancer) excision | 48 |
| Removal of tissue | 1-10 |
| Skin biopsy | 26 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Heaton Ear Nose and Throat Associates of East Texas P a | Otolaryngology | Current | Accepting new patients |
Locations
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
910 E Houston St
Ste 530
Tyler, TX 75702
Phone (903) 525-2992
501 Saunders Ave
Ste 320
Tyler, TX 75702
Phone (903) 606-4300
1136 E Grande Blvd
Tyler, TX 75703
Phone (903) 592-3666
Interoperability endpoints
- skohlert197494@christushealth.direct-ci.net
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.
-
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
-
- Otolaryngology Physician
- Tyler, TX
- NPI 1306988035
-
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1417941295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698192000000",
"number": "1407358740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1136 E GRANDE BLVD",
"city": "TYLER",
"state": "TX",
"postal_code": "757033982",
"telephone_number": "903-592-5601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 E HOUSTON ST STE 530",
"city": "TYLER",
"state": "TX",
"postal_code": "757028366",
"telephone_number": "903-606-4300"
}
],
"practiceLocations": [
{
"address_1": "1136 E Grande Blvd",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757033982",
"country_code": "US",
"telephone_number": "903-592-5601 x250",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "501 Saunders Ave Ste 320",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757027524",
"country_code": "US",
"telephone_number": "903-606-5140",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOHLERT",
"first_name": "SCOTT",
"middle_name": "FRASER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-02",
"last_updated": "2023-10-25",
"certification_date": "2023-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "TX",
"license": "R5582",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "1N9534",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.