NPIMap

Individual provider Active NPI

Matthew Ryan Kohler, M.D.

  • Pain Medicine Physician
  • New York, NY
National Provider Identifier
1831480839
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
281571 Issued in NY
Practice address
635 Madison Ave Ste 1301
New York, NY 10022-1088
Phone
(212) 715-0888
Fax
(212) 612-5188
NPI assigned
Apr 25, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 281571 NY
Pain Medicine Physician 208VP0000X 281571 NY Primary

Addresses

Primary practice location

635 Madison Ave Ste 1301
New York, NY 10022-1088

Mailing address

635 Madison Ave Ste 1301
New York, NY 10022-1088
Phone (212) 715-0888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20160810001870 NY Practitioner - AnesthesiologyPractitioner - Pain Management 5193019354 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
University of Virginia School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ospina Medical PLLCGroup PAC ID 2961747498, 2 clinicians

Practice addresses (Care Compare)

635 Madison Ave
New York, NY 10022-1088
Phone (212) 715-0888

635 Madison Ave
Suite 1301
New York, NY 10022-1009

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
281571NYMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic W Medical Care PLLC CurrentSince Nov 1, 2020 Accepting new patients
Hudson Spine and Pain Medicine, PC CurrentSince Oct 14, 2018 Accepting new patients
W Medical Care PC PastSince Oct 30, 2018 Accepting new patients

Locations

281 Broadway
Fl 2
New York, NY 10007
Phone (646) 596-7386

1056 5th Ave
#1
New York, NY 10028
Phone (212) 348-3636

5505 Myrtle Ave
#2
Ridgewood, NY 11385
Phone (646) 535-2936

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: matthew.kohler@4248.securemail.prognocis.com
  • Direct secure messaging: matthew.kohler@3652.securemail.prognocis.com

Organizations & group practices 4

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 10

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": "1303689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1831480839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 MADISON AVE STE 1301",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221088",
            "telephone_number": "212-715-0888",
            "fax_number": "212-612-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 MADISON AVE STE 1301",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221088",
            "telephone_number": "212-715-0888",
            "fax_number": "212-612-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHLER",
        "first_name": "MATTHEW",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-25",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "281571",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NY",
            "license": "281571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.