Individual provider Active NPI

Sam Nouhad Cohlmia, M.D.

  • Specialist
  • Wichita, KS
National Provider Identifier
1780641878
Registry record updated Jan 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0427225 Issued in KS
Practice address
9449 E 21St St N
Wichita, KS 67206-2969
Phone
(316) 264-8932
Fax
(316) 264-1257
NPI assigned
May 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0427225 KS Primary

Addresses

Primary practice location

9449 E 21St St N
Wichita, KS 67206-2969

Mailing address

9449 E 21St St N
Wichita, KS 67206-2969
Phone (316) 264-8932

Other identifiers 1

IdentifierTypeStateIssuer
100292290BMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20050727000510 KS Practitioner - Ophthalmology 4880622356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Kansas School of Med (KC/Wich/Sal), 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9449 E 21St St N
Suite 100
Wichita, KS 67206-2696
Phone (316) 264-8932

9449 E 21St St N
Suite 100
Wichita, KS 67206-2970

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.56 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
71.86

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery250

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0427225KSMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Wichita Ophthalmology,PA CurrentSince Feb 13, 2012 Accepting new patients

Locations

9449 E 21st St N
Ste 100
Wichita, KS 67206
Phone (316) 264-8932

9449 E 21st St N
Wichita, KS 67206
Phone (316) 264-8932

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Kansas Surgery and Recovery CenterWichita, KS, CCN 170183 Hospital Limited Partnership Interest (0.36%) Sep 7, 2021

Owned or controlled facilities with NPI records 1

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

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295395200000",
    "number": "1780641878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9449 E 21ST ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062969",
            "telephone_number": "316-264-8932",
            "fax_number": "316-264-1257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9449 E 21ST ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062969",
            "telephone_number": "316-264-8932",
            "fax_number": "316-264-1257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHLMIA",
        "first_name": "SAM",
        "middle_name": "NOUHAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2011-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KS",
            "license": "0427225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100292290B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.