Active NPI
Divyanshoo Rai Kohli, MD
- Gastroenterology Physician
- Spokane, WA
National Provider Identifier
1649569393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MD61259570
- Practice address
- 105 W 8TH Ave Ste 7050
Spokane, WA 99204-2362 - Phone
- (509) 252-1711
- Fax
- (509) 227-7070
- NPI assigned
- Apr 4, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 2018008784 | MO | |
| Hepatology Physician | 207RI0008X | 2018008784 | MO | |
| Gastroenterology Physician | 207RG0100X | MD61259570 | WA | Primary |
Addresses
Primary practice location
105 W 8TH Ave Ste 7050
Spokane, WA 99204-2362
Mailing address
PO Box 421
Liberty Lake, WA 99019-0421
Phone (509) 474-3568
Other practice location 1
4801 E Linwood Blvd
Kansas City, MO 64128-2226
Phone (816) 861-4700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
105 W 8TH Ave
Suite 7050
Spokane, WA 99204-2362
Phone (509) 252-1711
Hospital & facility affiliations
- Prov Sacred HRT Med Ctr & Childs Hosp.
- Providence Holy Family Hospital
- Providence St Joseph Hospital
- Kadlec Regional Medical Center
- Providence Mount Carmel Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 86 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 457 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018008784 | MO | MD | Gastroenterology Physician |
| MD61259570 | WA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Washington | Current | Accepting new patients | |
| Providence Health & Services - Washington | Past | Accepting new patients |
Locations
1200 E Columbia Ave
Colville, WA 99114
Phone (509) 684-3701
105 W 8th Ave
Ste 7050
Spokane, WA 99204
Phone (509) 252-1711
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.
-
- Pulmonary Disease Physician
- Spokane, WA
- NPI 1194099390
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Hoquiam, WA
- NPI 1043374119
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Richland, WA
- NPI 1972507580
-
- General Acute Care Hospital
- Spokane, WA
- NPI 1144471715
-
- Critical Access Hospital
- Chewelah, WA
- NPI 1750532321
-
- Critical Access Hospital
- Colville, WA
- NPI 1003067679
-
- General Acute Care Hospital
- Spokane, WA
- NPI 1225289895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648080000000",
"number": "1649569393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 421",
"city": "LIBERTY LAKE",
"state": "WA",
"postal_code": "990190421",
"telephone_number": "509-474-3568",
"fax_number": "509-227-7070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 W 8TH AVE STE 7050",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992042362",
"telephone_number": "509-252-1711",
"fax_number": "509-227-7070"
}
],
"practiceLocations": [
{
"address_1": "4801 E Linwood Blvd",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641282226",
"country_code": "US",
"telephone_number": "816-861-4700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOHLI",
"first_name": "DIVYANSHOO",
"middle_name": "RAI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-04",
"last_updated": "2022-03-24",
"certification_date": "2022-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MO",
"license": "2018008784",
"primary": false
},
{
"code": "207RI0008X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hepatology",
"state": "MO",
"license": "2018008784",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "WA",
"license": "MD61259570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.