Aniqa A Kohen, MD
Individual provider Active NPI Gastroenterology Physician · Roanoke, IN
NPI 1831531995 · NPPES record last updated Mar 12, 2025
Key facts
- NPI
- 1831531995
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- 01093064A (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 2
Medicare Care Compare profile
- 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 Inc
Iu Health Medical Group LLC
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
- Indiana University Health Ball Memorial Hospital
- Parkview Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 13 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 23 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in SC, IN, VA, TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220601002326 | SC | Practitioner - Gastroenterology | 2365877057 | |
| I20240925002423 | IN | Practitioner - Gastroenterology |
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 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75636 | SC | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmont Medical Associates Inc | Internal Medicine | Current |
Accepting new patients |
| Wellmont Medical Associates, Inc. | Current |
Accepting new patients | |
| Wellmont Medical Associates Inc | Current |
Accepting new patients | |
| Iu Health Medical Group, LLC | Current |
Accepting new patients | |
| Indiana University Health Fort Wayne Physicians, LLC | Internal Medicine | Current |
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
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
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
391 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-4406
16000 Johnston Memorial Dr
Abingdon, VA 24211
Phone (276) 258-1000
1990 Holton Ave E
Big Stone Gap, VA 24219
Phone (276) 523-3111
Interoperability endpoints
- akohen@direct.iuhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300096561 | Medicaid | IN | |
| 1104324324 | Other | IN | ANTHEM PTAN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | akohen@direct.iuhealth.org | Direct |
Other providers in Roanoke, IN
- Phillip L. Jones
- Molly A Kelly
- Theppanya Ka Keolasy
- Stephanie S Kidd
- Mark A King
- Alazai Briann Larkey
- Emily Lautzenheiser
- Steven Marchioni
- Wayne Starr Miller
- Shaunna F Minnick
All providers in Roanoke, IN · Gastroenterology Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.