Peter C Kohler, M.D.
Individual provider Active NPI Medical Oncology Physician · Traverse City, MI
NPI 1477520872 · NPPES record last updated Jul 25, 2025
Key facts
- NPI
- 1477520872
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Oncology Physician 207RX0202X
- License
- 061345 (MI)
- Practice address
- 217 S Madison Street
Traverse City, MI 49684-2320 - Phone
- (231) 392-8400
- Fax
- (231) 935-7888
- NPI assigned
- Mar 3, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Medical Oncology
- Education
- University of Wisconsin School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Munson Healthcare Cadillac
Practice addresses (Care Compare)
217 S Madison St
Traverse City, MI 49684-2321
Phone (231) 392-8400
Hospital & facility affiliations
- Munson Healthcare Cadillac Hospital
- Munson Medical Center
- Kalkaska Memorial Health Center
- Paul Oliver Memorial Hospital
- Munson Healthcare Grayling Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080110000102 | MI | Practitioner - Medical Oncology |
9638259047 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 061345 | MI | MD | Medical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Munson Healthcare Cadillac | Current |
Accepting new patients | |
| Munson Healthcare Cadillac | Current |
Accepting new patients | |
| Munson Healthcare Cadillac | Current | Accepting new patients | |
| Munson Medical Center | Current |
Accepting new patients | |
| Munson Medical Center | Current | Accepting new patients | |
| Munson Medical Center | Current |
Accepting new patients | |
| Munson Healthcare Cadillac | Past | Accepting new patients |
Locations
2513 Momentum Pl
Chicago, IL 60689
Phone (231) 935-8031
3782 Momentum Pl
Chicago, IL 60689
1110 Sixth St
Traverse City, MI 49684
Phone (231) 392-8400
1400 Medical Campus Dr
Traverse City, MI 49684
Phone (231) 935-8000
5041 N Royal Dr
Ste 2
Traverse City, MI 49684
Phone (231) 935-0700
1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | 061345 | MI | Yes |
Addresses
Primary practice location
217 S Madison Street
Traverse City, MI 49684-2320
Mailing address
2513 Momentum PL
Chicago, IL 60689-5325
Phone (231) 935-6080
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0025770 | Other | MI | CIGNA |
| 2972115 | Medicaid | MI | |
| PK061345 | Other | MI | BLUE CROSS LICENSE STATE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | peter.kohler@mhc.direct.varian.com |
Other providers in Traverse City, MI
- Anna Kohler
- Emily S Kohler
- Janine Kohler
- Jason P. Kohler
- Kelly Colleen Kohler
- Katherine Kokowicz
- Paul Arthur Kolak
- Deborah Joubert Kolarevic
- Bethany Jean Kolarik
- Kerry L Kole
All providers in Traverse City, MI · Medical Oncology Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.