DR. KOHL JOSEPH KILLEEN MD
NPI 1093519175
Student in an Organized Health Care Education/Training Program in New Orleans, LA

Active since April 01, 2025PECOS Enrolled
2021 PERDIDO ST STE 4425, NEW ORLEANS, LA 70112(504) 568-2207 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 18, 2026, Apr 1, 2025 (2 updates tracked since 2025).

About Dr. Kohl Joseph Killeen Md NPPES

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

DR. KOHL JOSEPH KILLEEN MD (NPI 1093519175) is an individual student in an organized health care education/training program in New Orleans, Louisiana and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093519175
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. KOHL JOSEPH KILLEENCredential: MD
Location Address2021 PERDIDO ST STE 4425New Orleans, LA 70112-1352
Mailing Address2021 Perdido St Ste 4425New Orleans, LA 70112-1352 · (504) 568-2207
Sole ProprietorYes
Enumeration DateApril 1, 2025
Last NPPES UpdateMay 18, 20262 updates tracked since enumeration
NPPES CertifiedMay 18, 2026
NPI 1093519175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2021 PERDIDO ST STE 4425, New Orleans, LA 70112

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Kohl Joseph Killeen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Kohl Killeen's NPI number?

The NPI number for Kohl Killeen is 1093519175. It was assigned to this individual provider in the NPPES registry on April 1, 2025.

Where is Kohl Killeen located?

Kohl Killeen practices at 2021 Perdido St Ste 4425, New Orleans, LA 70112. The listed phone number is (504) 568-2207.

What is Kohl Killeen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kohl Killeen enrolled in Medicare?

Yes. Kohl Killeen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kohl Killeen was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.