Individual provider Active NPI

Priya Kohli, M.D.

  • Family Medicine Physician
  • Charlottesville, VA
National Provider Identifier
1679542328
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101237270 Issued in VA
Practice address
375 Four Leaf LN Ste 103
Charlottesville, VA 22903-6905
Phone
(434) 243-0700
Fax
(434) 243-0680
NPI assigned
Mar 15, 2006
Last updated
Sep 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101237270 VA Primary

Addresses

Primary practice location

375 Four Leaf LN Ste 103
Charlottesville, VA 22903-6905

Mailing address

PO Box 9007
Charlottesville, VA 22906-9007

Other practice location 1

124 Ambriar Court
Amherst, VA 24521
Phone (434) 946-9565

Other identifiers 1

IdentifierTypeStateIssuer
010110921MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pkohli491056@direct.healthsystem.virginia.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050304000141 VA Practitioner - Family Practice 2466446075 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

375 Four Leaf LN
Suite 103
Charlottesville, VA 22903-6905
Phone (434) 243-0700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.45 of 100Reported as group
Quality
79.76
Promoting interoperability
100
Improvement activities
40
Cost
75.07

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Virginia Physicians Group CurrentSince Sep 1, 2021 Accepting new patients
Amherst Family Physicians, Inc Family Medicine CurrentSince Aug 5, 2004 Accepting new patients
Centra Medical Group, LLC Family Medicine Past Accepting new patients

Locations

124 Ambriar Plz
Amherst, VA 24521
Phone (434) 946-9565

375 Four Leaf Ln
Ste 103
Charlottesville, VA 22903
Phone (434) 243-0700

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

Interoperability endpoints

  • Direct secure messaging: pkohli491056@direct.healthsystem.virginia.edu

Organizations & group practices 3

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 2

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": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1679542328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9007",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229069007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 FOUR LEAF LN STE 103",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229036905",
            "telephone_number": "434-243-0700",
            "fax_number": "434-243-0680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "124 Ambriar Court",
            "address_purpose": "LOCATION",
            "city": "Amherst",
            "state": "VA",
            "postal_code": "24521",
            "country_code": "US",
            "telephone_number": "434-946-9565",
            "fax_number": "434-946-2766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOHLI",
        "first_name": "PRIYA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-15",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101237270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010110921",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pkohli491056@direct.healthsystem.virginia.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "375 Four Leaf Ln Ste 103",
            "city": "Charlottesville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "229036905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.