Individual provider Active NPI

Michael K Koehler, M.D.

  • Gastroenterology Physician
  • Chagrin Falls, OH
National Provider Identifier
1962419234
Registry record updated Dec 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
35062965 Issued in OH
Practice address
8185 Washington St Ste 2
Chagrin Falls, OH 44023-4575
Phone
(440) 708-1515
Fax
(440) 708-1515
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 35062965 OH Primary

Addresses

Primary practice location

8185 Washington St Ste 2
Chagrin Falls, OH 44023-4575

Mailing address

24701 Euclid Ave
Third Floor Billing Services
Euclid, OH 44117-1714
Phone (440) 708-1555

Other identifiers 1

IdentifierTypeStateIssuer
0184812MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michaekoehler@uhps.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20070109000130 OH Practitioner - GastroenterologyPractitioner - Internal Medicine 7416997671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Primary Care Practices IncGroup PAC ID 3072417534, 1,071 clinicians

Practice addresses (Care Compare)

1611 S Green Rd
Suite 160
South Euclid, OH 44121-6100
Phone (216) 297-2073

Hospital & facility affiliations

  • University Hospitals Ahuja Medical Center Hospital, Beachwood, OH, CCN 360359
  • Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137
  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180
  • Lake Health Beachwood Medical Center Hospital, Beachwood, OH, CCN 360367

Merit-based Incentive Payment System (MIPS)

Final score
91.15 of 100Reported as apm
Quality
82.31
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy176
Upper gastrointestinal (GI) endoscopy for acid reflux117

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35062965OHMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Gastroenterology Current Accepting new patients
University Primary Care Practices Inc CurrentSince Nov 1, 2016 Accepting new patients
University Hospitals Medical Group Inc Past Accepting new patients
University Primary Care Practices Past Accepting new patients
University Hospitals Regional Practices LLC Past Accepting new patients
University Primary Care Practices Inc Past Accepting new patients
Ushc Gastro Services, LLC Gastroenterology PastSince Nov 15, 2010 Accepting new patients
University Primary Care Practices Inc Past Accepting new patients

Locations

8185 Washington St
Ste 4
Chagrin Falls, OH 44023
Phone (440) 543-0708

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

1611 S Green Rd
Ste 160
South Euclid, OH 44121
Phone (216) 297-2073

Interoperability endpoints

  • Direct secure messaging: mkoehler37477@ehrdirect.uhhospitals.org

Organizations & group practices 8

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 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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1962419234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24701 EUCLID AVE",
            "address_2": "THIRD FLOOR BILLING SERVICES",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441171714",
            "telephone_number": "440-708-1555",
            "fax_number": "440-708-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8185 WASHINGTON ST STE 2",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440234575",
            "telephone_number": "440-708-1515",
            "fax_number": "440-708-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEHLER",
        "first_name": "MICHAEL",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35062965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0184812",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michaekoehler@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "8185 Washington St Ste 2",
            "city": "Chagrin Falls",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440234575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chagrin Falls, OH

Sources for this page

Verify at the official NPI Registry.