Organization Active NPI

Koka Cardiology PC

  • Specialist
  • Philadelphia, PA
National Provider Identifier
1528307287
Registry record updated May 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
KOKA CARDIOLOGY PC
Practice address
125 S 9TH St
Suite 501
Philadelphia, PA 19107-5125
Phone
(215) 543-7002
Fax
(215) 987-5891
NPI assigned
Jan 31, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2014

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

Authorized official

Name
Anna Manion
Title
Billing Manager
Phone
(215) 543-7002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

125 S 9TH St
Suite 501
Philadelphia, PA 19107-5125

Mailing address

125 S 9TH St
Suite 501
Philadelphia, PA 19107-5125
Phone (215) 543-7002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130328000373 PA Part B Supplier - Clinic/Group Practice 7517102262 Receives reassigned benefits from 4 practitioners
Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory

Locations

216 Mall Blvd
Ste 201
King of Prussia, PA 19406
Phone (215) 561-0809

125 S 9th St
Ste 50
Philadelphia, PA 19107
Phone (215) 543-7002

125 S 9th St
Ste 501
Philadelphia, PA 19107
Phone (215) 543-7002

125 S 9th St
Ste 1005
Philadelphia, PA 19107
Phone (215) 543-7002

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399420800000",
    "number": "1528307287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S 9TH ST",
            "address_2": "SUITE 501",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075125",
            "telephone_number": "215-543-7002",
            "fax_number": "215-987-5891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S 9TH ST",
            "address_2": "SUITE 501",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075125",
            "telephone_number": "215-543-7002",
            "fax_number": "215-987-5891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOKA CARDIOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-31",
        "last_updated": "2014-05-07",
        "status": "A",
        "authorized_official_last_name": "MANION",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "215-543-7002"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.