Active NPI
Inna Kogan, MD
- Pulmonary Disease Physician
- Panama City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- ME141279
- Practice address
- 615 N Bonita Ave
Panama City, FL 32401-3623 - Phone
- (850) 769-1511
- Fax
- (850) 416-6159
- NPI assigned
- Sep 8, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ME141279 | FL | Primary |
Addresses
Primary practice location
615 N Bonita Ave
Panama City, FL 32401-3623
Mailing address
4205 Belfort Rd Ste 4015
Jacksonville, FL 32216-3623
Phone (904) 450-6063
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30203222 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5151 N 9TH Ave
Suite 200
Pensacola, FL 32504-8721
Phone (850) 416-4188
Hospital & facility affiliations
- Sacred Heart Hospital
- Ascension Sacred Heart Bay
- Ascension Sacred Heart Gulf
- Sacred Heart Hospital on the Emerald Coast
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME141279 | FL | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Hospital | Current | Accepting new patients | |
| Berkshire Faculty Services Inc | Current | Accepting new patients | |
| Sacred Heart Health System, Inc. | Current | Accepting new patients | |
| Sacred Heart Health System, Inc. | Current | Accepting new patients | |
| Adfinitas Health at the Mercy Hospital PLLC | Current | Accepting new patients | |
| Sacred Heart Health System Inc | Current | Accepting new patients | |
| Vibra Physicians LLC | Current | Accepting new patients | |
| Hni Hospital Services of Florida, LLC | Critical Care Medicine | Current | Accepting new patients |
| Parkland Physician Services, Inc. | Past | Accepting new patients | |
| Sacred Heart Health System, Inc. | Past | Accepting new patients |
Locations
36500 Emerald Coast Pkwy
Destin, FL 32541
Phone (850) 269-0301
26 Racetrack Rd NW
Ft Walton Bch, FL 32547
Phone (850) 416-2340
4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691
615 N Bonita Ave
Panama City, FL 32401
Phone (850) 747-2020
801 E 6th St
Ste 203
Panama City, FL 32401
Phone (850) 804-2235
5151 N 9th Ave
Ste 200
Pensacola, FL 32504
Phone (850) 416-4188
780 S Main St
Ste 2
Gt Barrington, MA 01230
Phone (413) 447-2498
165 Tor Ct
Pittsfield, MA 01201
Phone (413) 447-2862
725 North St
Pittsfield, MA 01201
Phone (413) 447-2839
271 Carew St
Springfield, MA 01104
Phone (413) 748-9000
1400 State St
Springfield, MA 01109
Phone (413) 726-6118
Interoperability endpoints
- innakogan@bfs.medalliesdirect.net
- inna.kogan.1@9582.direct.athenahealth.com
Organizations & group practices 10
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.
-
- Ambulatory Family Planning Facility
- Pensacola, FL
- NPI 1962453308
-
- Critical Care Medicine (Internal Medicine) Physician
- Panama City, FL
- NPI 1144851411
-
- Hospitalist Physician
- Springfield, MA
- NPI 1669036737
-
- Multi-Specialty Clinic/Center
- Pittsfield, MA
- NPI 1548212939
-
- Community/Retail Pharmacy
- Pensacola, FL
- NPI 1366260739
-
- Family Medicine Physician
- Pensacola, FL
- NPI 1144271586
-
- Rural Health Clinic/Center
- Great Barrington, MA
- NPI 1881252286
-
- Primary Care Clinic/Center
- Pensacola, FL
- NPI 1043261498
-
- Endocrinology, Diabetes & Metabolism Physician
- Derry, NH
- NPI 1144388737
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Miramar Beach, FL
- NPI 1558391771
-
- Rural Acute Care Hospital
- Port St Joe, FL
- NPI 1083941678
-
- General Acute Care Hospital
- Panama City, FL
- NPI 1720078041
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1922032424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689724800000",
"number": "1700870433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4205 BELFORT RD STE 4015",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322163623",
"telephone_number": "904-450-6063",
"fax_number": "904-539-4091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 N BONITA AVE",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324013623",
"telephone_number": "850-769-1511",
"fax_number": "850-416-6159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOGAN",
"first_name": "INNA",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-08",
"last_updated": "2023-07-19",
"certification_date": "2023-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "FL",
"license": "ME141279",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30203222",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.