NPIMap

Individual provider Active NPI

Kohl Taylor Chevrier, PA

  • Physician Assistant
  • Hamburg, NY
National Provider Identifier
1619671369
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
029752-01 Issued in NY
Practice address
5844 Southwestern Blvd
Hamburg, NY 14075-3684
Phone
(716) 646-5500
NPI assigned
Mar 28, 2023
Last updated
Mar 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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 029752-01 NY Primary

Addresses

Primary practice location

5844 Southwestern Blvd
Hamburg, NY 14075-3684

Mailing address

5944 Rosewood Ter
Lake View, NY 14085-9784
Phone (716) 479-0788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20230622001161 NY Practitioner - Physician Assistant 3971961087 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sharma Medical, PLLCGroup PAC ID 2769567155, 3 clinicians
Preferred Physician Care PCGroup PAC ID 5799945911, 26 clinicians

Practice addresses (Care Compare)

12657 Seneca Rd
Irving, NY 14081-9707
Phone (716) 934-4400

30 N Union Rd
Williamsville, NY 14221-5367
Phone (716) 747-4000

5844 Southwestern Blvd
Suite 500
Hamburg, NY 14075-3684
Phone (716) 646-5500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
029752-01NYMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: kchevrierpa@premierhealthpartners.medentdirect.com
  • Direct secure messaging: kohlchevrier@sharmamedical.medentdirect.com

Organizations & group practices 2

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1619671369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5944 ROSEWOOD TER",
            "city": "LAKE VIEW",
            "state": "NY",
            "postal_code": "140859784",
            "telephone_number": "716-479-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5844 SOUTHWESTERN BLVD",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140753684",
            "telephone_number": "716-646-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEVRIER",
        "first_name": "KOHL",
        "middle_name": "TAYLOR",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-28",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "029752-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamburg, NY

Sources for this page

Verify at the official NPI Registry.