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SAMANTHA KOHLER PA
NPI 1063159291
Physician Assistant in Dearborn, MI

Active since May 18, 2022PECOS EnrolledAccepts Medicare Assignment
18101 OAKWOOD BLVD, DEARBORN, MI 48124(313) 593-7000(734) 446-9750 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 26, 2023, May 18, 2022 (2 updates tracked since 2022).

About Samantha Kohler Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA KOHLER PA (NPI 1063159291) is an individual physician assistant in Dearborn, Michigan, licensed in Michigan (5601011126) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Dearborn, and maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1063159291
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSAMANTHA KOHLERCredential: PA
Location Address18101 OAKWOOD BLVDDearborn, MI 48124-4089
Mailing Address26901 Beaumont Blvd # 3dSouthfield, MI 48033-3849 · (947) 522-1952 · Fax (947) 522-0307
Phone(313) 593-7000
Fax(734) 446-9750
Sole ProprietorYes
Medical School CMSUniversity Of Florida College Of MedicineGraduated 2022
Enumeration DateMay 18, 2022
Last NPPES UpdateMay 21, 20242 updates tracked since enumeration
NPPES CertifiedMay 21, 2024
✔ NPI 1063159291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601011126
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
18101 OAKWOOD BLVD, Dearborn, MI 48124
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Other Names 1

Former Name (1)Samantha Peters Pa

Secondary Practice Location 1

Location 12799 W Grand Blvd # 363Detroit, MI 48202-2608 · Phone (313) 916-5342 · Fax (313) 573-3964

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samantha Kohler Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365896602
PECOS Enrollment IDI20230920003578
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Beaumont Hospital - Dearborn

Acute Care Hospitals · Dearborn, MI
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230020
Location18101 Oakwood BlvdDearborn, MI 48124 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48124 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEGAN NICOLE SANBORN CRNA
Nurse Anesthetist, Certified Registered
18101 OAKWOOD BLVD
DEARBORN, MI 48124
Wayne County (313) 436-2374
DR. MATTHEW JOSEPH HUNT DO
Surgery
18101 OAKWOOD BLVD
DEARBORN, MI 48124
Wayne County (313) 593-7000
OAKWOOD AMBULATORY LLC
Internal Medicine
18101 OAKWOOD BLVD
DEARBORN, MI 48124
Wayne County (313) 593-7000
MICHAEL KROLL CRNA
Nurse Anesthetist, Certified Registered
18101 OAKWOOD BLVD, ANESTHESIA DEPT
DEARBORN, MI 48124
Wayne County (313) 593-7820
DR. NEHA DESAI PHARM.D.
Pharmacist (Pharmacotherapy)
18101 OAKWOOD BLVD, PHARMACY
DEARBORN, MI 48124
Wayne County (313) 593-7268
DR. ROHAN LALITH DERANIYAGALA M.D.
Radiology (Radiation Oncology)
18101 OAKWOOD BLVD
DEARBORN, MI 48124
Wayne County (248) 551-5490
KIA SWEENEY
Psychiatry & Neurology (Psychiatry)
18101 OAKWOOD BLVD
DEARBORN, MI 48124
Wayne County (947) 522-3088
JESSICA FLINT MD
Obstetrics & Gynecology
18101 OAKWOOD BLVD
DEARBORN, MI 48124
Wayne County (313) 436-2582

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Kohler's NPI number?

The NPI number for Samantha Kohler is 1063159291. It was assigned to this individual provider in the NPPES registry on May 18, 2022. The provider is also known as Samantha Peters PA.

Where is Samantha Kohler located?

Samantha Kohler practices at 18101 Oakwood Blvd, Dearborn, MI 48124. The listed phone number is (313) 593-7000.

What is Samantha Kohler's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Samantha Kohler enrolled in Medicare?

Yes. Samantha Kohler is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Samantha Kohler accept?

Health plans from McLaren Health Plan Community and Priority Health list Samantha Kohler as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Samantha Kohler affiliated with any hospitals?

According to CMS data, Samantha Kohler is affiliated with Beaumont Hospital - Dearborn.

When was this NPI record last updated?

The NPPES record for Samantha Kohler was last updated on May 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.