Individual provider Active NPI

Patrick Joseph Koehler, CRNA

  • Certified Registered Nurse Anesthetist
  • Cedarhurst, NY
National Provider Identifier
1891809125
Registry record updated Dec 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3092481 Issued in NY
Practice address
232 Fair Oaks PL
Cedarhurst, NY 11516-1807
Phone
(516) 528-9582
Fax
(516) 536-4495
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 3092481 NY Primary

Addresses

Primary practice location

232 Fair Oaks PL
Cedarhurst, NY 11516-1807

Mailing address

232 Fair Oaks PL
Cedarhurst, NY 11516-1807
Phone (516) 528-9582

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100616000202 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 4486784527 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quality Medical Management CorpGroup PAC ID 5799193074, 27 clinicians

Practice addresses (Care Compare)

100 Woods Rd
Valhalla, NY 10595-1530

1110 Hallock Ave
Port Jefferson Station, NY 11776-1210
Phone (631) 476-9100

396 Broadway
Kingston, NY 12401-4626
Phone (845) 331-3131

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
3092481NYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
North Fork Surgery Center LLC CurrentSince Jul 22, 2020 Accepting new patients
North American Partners in Anesthesia LLP CurrentSince Apr 22, 2018 Accepting new patients
Long Island Anesthesia Physicians LLP CurrentSince Jul 1, 2013 Accepting new patients
Quality Medical Management Corp Nurse Anesthetist, Certified Registered CurrentSince May 1, 2021 Accepting new patients
North Fork Surgery Center LLC CurrentSince Jul 22, 2020 Accepting new patients
Peconic Anesthesiologist, P.C. Past Accepting new patients

Locations

301 Montauk Hwy
Bay Shore, NY 11706
Phone (631) 630-3977

11 E Fordham Rd
Ste A
Bronx, NY 10468
Phone (631) 446-1190

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171

1324 Motor Pkwy
Ste 101
Islandia, NY 11749
Phone (516) 850-8143

16203 Jamaica Ave
Ste 200
Jamaica, NY 11432
Phone (347) 429-7699

3636 33rd St
Ste 204
Long Island City, NY 11106
Phone (631) 446-1190

300 Old Country Rd
Fl 4
Mineola, NY 11501
Phone (516) 747-9232

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

1110 Hallock Ave
Port Jefferson Station, NY 11776
Phone (631) 476-9100

200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000

1149 Old Country Rd
Riverhead, NY 11901
Phone (631) 727-3000

1 Heroes Way
Riverhead, NY 11901
Phone (631) 548-6000

700 Boisseau Ave
Southold, NY 11971
Phone (631) 477-5353

Organizations & group practices 7

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514246400000",
    "number": "1891809125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 FAIR OAKS PL",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115161807",
            "telephone_number": "516-528-9582",
            "fax_number": "516-536-4495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 FAIR OAKS PL",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115161807",
            "telephone_number": "516-528-9582",
            "fax_number": "516-536-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEHLER",
        "first_name": "PATRICK",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2017-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "3092481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedarhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.