Individual provider Active NPI

Aniqa A Kohen, MD

  • Gastroenterology Physician
  • Roanoke, IN
National Provider Identifier
1831531995
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
01093064A Issued in IN
Practice address
10101 Ernst Rd Ste 1400
Roanoke, IN 46783-9711
Phone
(260) 234-5400
Fax
(317) 222-2372
NPI assigned
Jul 17, 2013
Last updated
Mar 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01093064A IN
Internal Medicine Physician 207R00000X 71788 TN
Internal Medicine Physician 207R00000X 0101282848 VA
Gastroenterology Physician 207RG0100X 75636 SC
Gastroenterology Physician 207RG0100X 285200 NY
Gastroenterology Physician 207RG0100X 71788 TN
Gastroenterology Physician 207RG0100X 0101282848 VA
Gastroenterology Physician 207RG0100X 01093064A IN Primary

Addresses

Primary practice location

10101 Ernst Rd Ste 1400
Roanoke, IN 46783-9711

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

1420 Tusculum Blvd
Greeneville, TN 37745-4279
Phone (423) 787-5000

Other practice location 2

130 W Ravine Rd
Kingsport, TN 37660-3837
Phone (423) 224-4000

Other practice location 3

16000 Johnston Memorial Dr
Abingdon, VA 24211-7664
Phone (276) 258-1000

Other identifiers 2

IdentifierTypeStateIssuer
1104324324OtherINANTHEM PTAN
300096561MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address akohen@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, IN, VA, TN4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20220601002326 SC Practitioner - Gastroenterology 2365877057
I20240925002423 IN Practitioner - GastroenterologyPractitioner - Internal Medicine 2365877057 Reassigns benefits to 1 organization
I20241023004755 VA Practitioner - Gastroenterology 2365877057 Reassigns benefits to 1 organization
I20250305001931 TN Practitioner - Gastroenterology 2365877057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellmont Medical Associates IncGroup PAC ID 8123291739, shared by 2 NPIs, 432 clinicians
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians

Practice addresses (Care Compare)

130 W Ravine Rd
Kingsport, TN 37660-3837
Phone (423) 230-8412

16000 Johnson Memorial Dr
Abingdon, VA 24211-7664

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258

1990 Holton Ave E
Big Stone Gap, VA 24219-3350
Phone (423) 230-8200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy13
Upper gastrointestinal (GI) endoscopy for acid reflux23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01093064AINMDInternal Medicine Physician
71788TNMDInternal Medicine Physician
75636SCMDGastroenterology Physician
0101282848VAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmont Medical Associates Inc Internal Medicine CurrentSince Jan 27, 2025 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Jan 27, 2025 Accepting new patients
Indiana University Health Fort Wayne Physicians, LLC Internal Medicine CurrentSince Nov 3, 2024 Accepting new patients
Iu Health Medical Group, LLC CurrentSince Oct 1, 2025 Accepting new patients
Wellmont Medical Associates Inc Internal Medicine CurrentSince Jan 27, 2025 Accepting new patients

Locations

256 E Pettit Ave
Ste 100
Fort Wayne, IN 46806

4105 Dicke Rd
Fort Wayne, IN 46804
Phone (260) 268-1000

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

10101 Ernst Rd
Roanoke, IN 46783
Phone (260) 234-5401

10101 Ernst Rd
Ste 1400
Roanoke, IN 46783
Phone (317) 948-2550

1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

130 W Ravine Rd
Kingsport, TN 37660
Phone (423) 224-3150

16000 Johnston Memorial Dr
Abingdon, VA 24211
Phone (276) 258-1000

391 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-4406

1990 Holton Ave E
Big Stone Gap, VA 24219
Phone (276) 523-3111

Interoperability endpoints

  • Direct secure messaging: akohen@direct.iuhealth.org

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, 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": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1831531995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 ERNST RD STE 1400",
            "city": "ROANOKE",
            "state": "IN",
            "postal_code": "467839711",
            "telephone_number": "260-234-5400",
            "fax_number": "317-222-2372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1420 Tusculum Blvd",
            "address_purpose": "LOCATION",
            "city": "Greeneville",
            "state": "TN",
            "postal_code": "377454279",
            "country_code": "US",
            "telephone_number": "423-787-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 W Ravine Rd",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376603837",
            "country_code": "US",
            "telephone_number": "423-224-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16000 Johnston Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Abingdon",
            "state": "VA",
            "postal_code": "242117664",
            "country_code": "US",
            "telephone_number": "276-258-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOHEN",
        "first_name": "ANIQA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-17",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01093064A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "71788",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101282848",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "SC",
            "license": "75636",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "285200",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TN",
            "license": "71788",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VA",
            "license": "0101282848",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IN",
            "license": "01093064A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PTAN",
            "identifier": "1104324324",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300096561",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akohen@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10101 Ernst Rd Ste 1400",
            "city": "Roanoke",
            "state": "IN",
            "country_code": "US",
            "postal_code": "467839711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roanoke, IN

Sources for this page

Verify at the official NPI Registry.