Organization Active NPI

Manoj Kohli, PSC

  • Rheumatology Physician
  • Lexington, KY
National Provider Identifier
1891911160
Registry record updated Jan 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
MANOJ KOHLI, PSC
Practice address
2393 Alumni Dr
Ste 205
Lexington, KY 40517-4285
Phone
(859) 260-1563
Fax
(859) 260-1566
NPI assigned
Apr 17, 2007
Last updated
Jan 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2008

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

Authorized official

Name
Manoj Kohli, MD
Title
Physician
Phone
(859) 260-1563

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X NU Primary

Addresses

Primary practice location

2393 Alumni Dr
Ste 205
Lexington, KY 40517-4285

Mailing address

151 N Eagle Creek Dr
Ste 12
Lexington, KY 40509-1889
Phone (859) 263-0050

Other identifiers 1

IdentifierTypeStateIssuer
64-021496MedicaidKY

National Provider Directory

National Provider Directory

Locations

2393 Alumni Dr
Ste 205
Lexington, KY 40517
Phone (859) 260-1563

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199404800000",
    "number": "1891911160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 N EAGLE CREEK DR",
            "address_2": "STE 12",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091889",
            "telephone_number": "859-263-0050",
            "fax_number": "859-263-7441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2393 ALUMNI DR",
            "address_2": "STE 205",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405174285",
            "telephone_number": "859-260-1563",
            "fax_number": "859-260-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOJ KOHLI, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2008-01-04",
        "status": "A",
        "authorized_official_last_name": "KOHLI",
        "authorized_official_first_name": "MANOJ",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "859-260-1563",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64-021496",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.