Active NPI
Robert Kohn, MD
- Geriatric Psychiatry Physician
- Providence, RI
National Provider Identifier
1629082458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Psychiatry Physician
- License
- MD07224
- Practice address
- 42 General St
Providence, RI 02904-1650 - Phone
- (401) 270-4649
- Fax
- (401) 274-0656
- NPI assigned
- Jul 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychosomatic Medicine Physician | 2084P0015X | MD07224 | RI | |
| Psychiatry Physician | 2084P0800X | MD07224 | RI | |
| Geriatric Psychiatry Physician | 2084P0805X | MD07224 | RI | Primary |
Addresses
Primary practice location
42 General St
Providence, RI 02904-1650
Mailing address
42 General St
Providence, RI 02904-1650
Phone (401) 270-4649
Other practice location 1
164 Summit Ave
Providence, RI 02906-2853
Phone (401) 793-4300
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 204104 | Other | RI | BLUECHIP |
| 9006676 | Medicaid | RI | |
| 33414-3 | Other | RI | BCBS RI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050122000109 | RI | Practitioner - Psychiatry | 5496705980 | Practice locations: Providence, RI |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
42 General St
Providence, RI 02904-1650
Phone (401) 270-4649
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brockton Hospital, Inc. | Psychiatry | Past | Accepting new patients |
| Signature Healthcare Medical Group Inc | Psychiatry | Past | Accepting new patients |
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 and National Provider Directory roles.
-
dba Signature Healthcare Brockton Hospital
- Psychiatric Hospital Unit
- Brockton, MA
- NPI 1689695405
Psychiatry
-
dba Signature Medical
- Internal Medicine Physician
- Brockton, MA
- NPI 1508804949
Psychiatry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1629082458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 GENERAL ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029041650",
"telephone_number": "401-270-4649",
"fax_number": "401-274-0656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 GENERAL ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029041650",
"telephone_number": "401-270-4649",
"fax_number": "401-274-0656"
}
],
"practiceLocations": [
{
"address_1": "164 Summit Ave",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029062853",
"country_code": "US",
"telephone_number": "401-793-4300",
"fax_number": "401-793-4312",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOHN",
"first_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0015X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychosomatic Medicine",
"state": "RI",
"license": "MD07224",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "RI",
"license": "MD07224",
"primary": false
},
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "RI",
"license": "MD07224",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECHIP",
"identifier": "204104",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9006676",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS RI",
"identifier": "33414-3",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.