NPIMap

Individual provider Active NPI

Parmish Lalit Kohli, M.D.

  • Nephrology Physician
  • San Antonio, TX
National Provider Identifier
1639308406
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
Q1651 Issued in TX
Practice address
4458 Medical Dr Ste 205
San Antonio, TX 78229
Phone
(210) 614-1515
Fax
(210) 615-6904
NPI assigned
Jul 14, 2009
Last updated
Jan 3, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X Q1651 TX Primary

Addresses

Primary practice location

4458 Medical Dr Ste 205
San Antonio, TX 78229

Mailing address

4458 Medical Dr Ste 205
San Antonio, TX 78229-3748
Phone (210) 614-1515

Other practice location 1

5131 Medical Dr
Suite 120
San Antonio, TX 78229-5062
Phone (210) 614-1515

Other practice location 2

5131 Medical Dr
Suite 120
San Antonio, TX 78229-5062
Phone (210) 614-1515

Other identifiers 1

IdentifierTypeStateIssuer
Q1651OtherTXTEXAS LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20140922002272 TX Practitioner - Nephrology 7315193992 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renal Associates, P.a.Group PAC ID 8729070628, 40 clinicians

Practice addresses (Care Compare)

4458 Medical Dr
Suite 205
San Antonio, TX 78229-3748
Phone (210) 614-1515

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Interoperability endpoints

  • Direct secure messaging: parmish.kohli@ra.eclinicaldirectplus.com

Organizations & group practices 1

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 8

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

NPI Registry JSON

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1639308406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4458 MEDICAL DR STE 205",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293748",
            "telephone_number": "210-614-1515",
            "fax_number": "210-615-6904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4458 MEDICAL DR STE 205",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78229",
            "telephone_number": "210-614-1515",
            "fax_number": "210-615-6904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5131 Medical Dr",
            "address_2": "Suite 120",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782295062",
            "country_code": "US",
            "telephone_number": "210-614-1515",
            "fax_number": "210-615-6904",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5131 Medical Dr",
            "address_2": "Suite 120",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782295062",
            "country_code": "US",
            "telephone_number": "210-614-1515",
            "fax_number": "210-615-6904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOHLI",
        "first_name": "PARMISH",
        "middle_name": "LALIT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-14",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "Q1651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS LICENSE",
            "identifier": "Q1651",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.