Individual provider Active NPI

Disha Kohli, M.D.

  • Neurology Physician
  • Jackson, MS
National Provider Identifier
1912391889
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
1023360 Issued in MA
Practice address
2500 N State St
Department of Neurology
Jackson, MS 39216-4500
Phone
(601) 984-5514
Fax
(601) 984-5503
NPI assigned
Mar 27, 2015
Last updated
Oct 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD20623 RI
Neurology Physician 2084N0400X 1023360 MA Primary
Neurology Physician 2084N0400X 51388 SC

Addresses

Primary practice location

2500 N State St
Department of Neurology
Jackson, MS 39216-4500

Mailing address

2500 N State St
Department of Neurology
Jackson, MS 39216-4500
Phone (601) 984-5514

Other practice location 1

455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (972) 449-0540

Other identifiers 1

IdentifierTypeStateIssuer
09151034MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, RI, MA, PA, MI5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20200730001948 SC Practitioner - Neurology 6305152539 Reassigns benefits to 2 organizations
I20250423002057 RI Practitioner - Neurology 6305152539 Reassigns benefits to 1 organization
I20250507000611 MA Practitioner - Neurology 6305152539 Reassigns benefits to 1 organization
I20250723004804 PA Practitioner - Neurology 6305152539 Reassigns benefits to 1 organization
I20251020002063 MI Practitioner - Neurology 6305152539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Access Telecare PLLCGroup PAC ID 7810204831, 409 clinicians

Practice addresses (Care Compare)

Canton, MA 02021
Phone (972) 449-0540

Indian Land, SC 29707
Phone (972) 449-0540

1 Guthrie SQ
Sayre, PA 18840-1625
Phone (972) 449-0540

1 Hospital Dr
Lowell, MA 01852-1311
Phone (972) 449-0540

100 Kenyon Ave
Wakefield, RI 02879-4216
Phone (972) 449-0540

1000 Wellness Way
Fort Mill, SC 29715-7315
Phone (972) 449-0540

101 Page St
New Bedford, MA 02740-3464
Phone (972) 449-0540

1053 Lindell Ave
Petoskey, MI 49770-3231
Phone (972) 449-0540

115 Lincoln St
Framingham, MA 01702-6358
Phone (972) 449-0540

1400 W Ice Lake Rd
Iron River, MI 49935-9526
Phone (972) 449-0540

148 Chestnut St
Needham, MA 02492-2505
Phone (972) 449-0540

171 Ashley Ave
Charleston, SC 29425-8908
Phone (843) 792-1414

199 Reedsdale Rd
Milton, MA 02186-3926
Phone (972) 449-0540

20 Powell Ave
Newport, RI 02840-2299
Phone (972) 449-0540

205 Osceola St
Laurium, MI 49913-2134
Phone (972) 449-0540

222 Herlong Ave S
Rock Hill, SC 29732-1158
Phone (972) 449-0540

27 Park St
Hyannis, MA 02601-5230
Phone (972) 449-0540

275 Guthrie Dr
Troy, PA 16947-8115
Phone (972) 449-0540

295 Varnum Ave
Lowell, MA 01854-2134
Phone (972) 449-0540

298 Washington St
Gloucester, MA 01930-4832
Phone (972) 449-0540

363 Highland Ave
Fall River, MA 02720-3703
Phone (972) 449-0540

41 Highland Ave
Winchester, MA 01890-1446
Phone (972) 449-0540

43 High St
Wareham, MA 02571-2097
Phone (972) 449-0540

455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (972) 449-0540

65 Harwich Rd
Providence, RI 02906-4919
Phone (972) 449-0540

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.02 of 100Reported as group
Quality
62.41
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD20623RIMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Access Telecare, PLLC Neurology CurrentSince Apr 17, 2025 Accepting new patients
University Medical Associates of the Medical University of South Carol Current Accepting new patients
University Medical Associates of the Medical University of South Carol Neurology CurrentSince Jul 1, 2020 Accepting new patients
Medical University Hospital Authority Past Accepting new patients

Locations

455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

Interoperability endpoints

  • Direct secure messaging: dkohli225269@direct.musc.edu

Organizations & group practices 4

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 7

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": "1427414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1912391889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 N STATE ST",
            "address_2": "DEPARTMENT OF NEUROLOGY",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "601-984-5514",
            "fax_number": "601-984-5503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N STATE ST",
            "address_2": "DEPARTMENT OF NEUROLOGY",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "601-984-5514",
            "fax_number": "601-984-5503"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "455 Toll Gate Rd",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028862759",
            "country_code": "US",
            "telephone_number": "972-449-0540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOHLI",
        "first_name": "DISHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-27",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "RI",
            "license": "MD20623",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MA",
            "license": "1023360",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "SC",
            "license": "51388",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09151034",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.