Individual provider Active NPI

Joshua Kohl, PA-C

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1598168213
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5866 Issued in AZ
Practice address
1704 W Bell Rd
Phoenix, AZ 85023-3414
Phone
(602) 837-5929
Fax
(877) 409-2927
NPI assigned
Oct 8, 2014
Last updated
Feb 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5866 AZ Primary

Addresses

Primary practice location

1704 W Bell Rd
Phoenix, AZ 85023-3414

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (305) 500-2000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address joshua.kohl.1@29601.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150413000905 AZ Practitioner - Physician Assistant 8123346673 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1704 W Bell Rd
Phoenix, AZ 85023-3414
Phone (602) 837-5929

6544 W Thomas Rd
Suite 11
Phoenix, AZ 85033-5740
Phone (602) 834-5515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5866AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care Az PC CurrentSince Nov 27, 2023 Accepting new patients
Centerwell Senior Primary Care Az PC CurrentSince Nov 27, 2023 Accepting new patients
Centerwell Senior Primary Care Az PC Past Accepting new patients

Locations

1704 W Bell Rd
Phoenix, AZ 85023
Phone (602) 837-5929

6544 W Thomas Rd
Ste 11
Phoenix, AZ 85033
Phone (602) 834-5515

14674 W Mountain View Blvd
Ste 200
Surprise, AZ 85374
Phone (602) 510-7142

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

Interoperability endpoints

  • Direct secure messaging: joshua.kohl.1@29601.direct.athenahealth.com
  • Direct secure messaging: joshua.kohl@centerwell.eclinicaldirectplus.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1598168213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "305-500-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 W BELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850233414",
            "telephone_number": "602-837-5929",
            "fax_number": "877-409-2927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHL",
        "first_name": "JOSHUA",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-08",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "5866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joshua.kohl.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1704 W Bell Rd",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850233414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.