NPIMap

Individual provider Active NPI

Douglas O Kohler, MD

  • Internal Medicine Physician
  • Garfield Heights, OH
National Provider Identifier
1770584591
Registry record updated Sep 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35071467K Issued in OH
Practice address
12000 McCracken Road
Suite 550
Garfield Heights, OH 44125
Phone
(216) 663-8686
Fax
(216) 663-2153
NPI assigned
Aug 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35071467 OH
Internal Medicine Physician 207R00000X 35071467K OH Primary

Addresses

Primary practice location

12000 McCracken Road
Suite 550
Garfield Heights, OH 44125

Mailing address

12000 McCracken Road
Suite 550
Garfield Heights, OH 44125
Phone (216) 663-8686

Other identifiers 1

IdentifierTypeStateIssuer
2064653MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20120409000318 OH Practitioner - Internal Medicine 8224012349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ohio State University College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

12000 McCracken Rd
Garfield Heights, OH 44125-2933

12300 McCracken Rd
Garfield Heights, OH 44125-2914

2001 E Royalton Rd
Broadview Heights, OH 44147-2811

8950 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-8950

9500 Euclid Ave
Cleveland, OH 44195-0001

Hospital & facility affiliations

  • Cleveland Clinic Home Care Home health agency, Independence, OH, CCN 367142
  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180
  • Marymount Hospital Hospital, Garfield Heights, OH, CCN 360143
  • Medina Hospital Hospital, Medina, OH, CCN 360091
  • Hillcrest Hospital Hospital, Mayfield Heights, OH, CCN 360230
  • Akron General Medical Center Hospital, Akron, OH, CCN 360027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35071467OHMDInternal Medicine Physician
35071467KOHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
The Cleveland Clinic Foundation CurrentSince Feb 4, 2014 Accepting new patients
PTS Medical Group,Inc. Internal Medicine Current Accepting new patients
Marymount Hospital Inc Past Accepting new patients
Marymount Primary Care Services, Inc. Past Accepting new patients

Locations

36901 American Way
Avon, OH 44011
Phone (440) 930-6200

2001 E Royalton Rd
Broadview Hts, OH 44147
Phone (440) 717-5800

17747 Chillicothe Rd
Chagrin Falls, OH 44023
Phone (216) 543-8855

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

12000 McCracken Rd
Ste 550
Garfield Hts, OH 44125
Phone (216) 581-2580

12000 McCracken Rd
Ste 211
Garfield Hts, OH 44125
Phone (216) 587-4600

12000 McCracken Rd
Ste 460
Garfield Hts, OH 44125
Phone (216) 475-5370

12000 McCracken Rd
Ste 108
Garfield Hts, OH 44125
Phone (216) 475-1551

850 Columbia Rd
Ste 105
Westlake, OH 44145
Phone (440) 250-5737

Interoperability endpoints

  • Direct secure messaging: dkohler92193@direct.ccf.org

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Marymount Hospital IncGarfield Heights, OH, CCN 360143 Hospital W-2 Managing Employee Mar 1, 2024
Marymount Hospital IncGarfield Heights, OH, CCN 36S143 Hospital W-2 Managing Employee Mar 1, 2014

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

Hospital & facility affiliations 6

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": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283472000000",
    "number": "1770584591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12000 MCCRACKEN ROAD",
            "address_2": "SUITE 550",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "44125",
            "telephone_number": "216-663-8686",
            "fax_number": "216-663-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 MCCRACKEN ROAD",
            "address_2": "SUITE 550",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "44125",
            "telephone_number": "216-663-8686",
            "fax_number": "216-663-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHLER",
        "first_name": "DOUGLAS",
        "middle_name": "O",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2010-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35071467",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35071467K",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2064653",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garfield Heights, OH

Sources for this page

Verify at the official NPI Registry.