Individual provider Active NPI

Ben J Kochuveli, MD

  • Family Medicine Physician
  • Rockledge, PA
National Provider Identifier
1902004047
Registry record updated Apr 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD440944 Issued in PA
Practice address
8 Huntingdon Pike
100
Rockledge, PA 19046-4338
Phone
(215) 663-8880
Fax
(215) 663-8898
NPI assigned
Jul 10, 2007
Last updated
Apr 11, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 125053442 IL
Family Medicine Physician 207Q00000X MD440944 PA Primary

Addresses

Primary practice location

8 Huntingdon Pike
100
Rockledge, PA 19046-4338

Mailing address

8 Huntingdon Pike
100
Rockledge, PA 19046-4338
Phone (215) 663-8880

Other identifiers 3

IdentifierTypeStateIssuer
100727800OtherPAMEDICAID GROUP
597586OtherPAMEDICARE GROUP
102528978MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101214000026 PA Practitioner - Family Practice 7911194121 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125053442ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Temple Physicians Inc. Family Medicine CurrentSince Oct 8, 2010 Accepting new patients
Temple Physician Inc. CurrentSince Oct 8, 2010 Accepting new patients
Temple Physicians Inc Family Medicine Current Accepting new patients
Wills Eye Ophthalmology Clinic, Inc Past Accepting new patients
Temple Physicians Inc Family Medicine Past Accepting new patients
Temple Physicians Inc. Past Accepting new patients
Temple Physicians Inc Past Accepting new patients
Temple Physicians Inc Family Medicine Past Accepting new patients
Temple Physicians Inc Family Medicine Past Accepting new patients

Locations

515 Pennsylvania Ave
Fl 2
Ft Washington, PA 19034
Phone (215) 540-0120

120 Huntingdon Pike
Ste 101
Rockledge, PA 19046
Phone (215) 663-8880

8 Huntingdon Pike
Ste 100
Rockledge, PA 19046
Phone (215) 663-8880

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397174400000",
    "number": "1902004047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 HUNTINGDON PIKE",
            "address_2": "100",
            "city": "ROCKLEDGE",
            "state": "PA",
            "postal_code": "190464338",
            "telephone_number": "215-663-8880",
            "fax_number": "215-663-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 HUNTINGDON PIKE",
            "address_2": "100",
            "city": "ROCKLEDGE",
            "state": "PA",
            "postal_code": "190464338",
            "telephone_number": "215-663-8880",
            "fax_number": "215-663-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCHUVELI",
        "first_name": "BEN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-10",
        "last_updated": "2014-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125053442",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD440944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "100727800",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "597586",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102528978",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, PA

Sources for this page

Verify at the official NPI Registry.