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LUPER ISAAC KOHOL
NPI 1184419467
Student in an Organized Health Care Education/Training Program in Wilkes-barre, PA

Active since April 09, 2025PECOS Enrolled
1000 EAST MOUNTAIN BLVD, WILKES-BARRE, PA 18711(570) 808-3746 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Luper Isaac Kohol NPPES

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

LUPER ISAAC KOHOL (NPI 1184419467) is an individual student in an organized health care education/training program in Wilkes-barre, Pennsylvania and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184419467
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameLUPER ISAAC KOHOL
Location Address1000 EAST MOUNTAIN BLVDWilkes-barre, PA 18711
Mailing Address1000 East Mountain BlvdWilkes-barre, PA 18711 · (570) 808-3746
Phone(570) 808-3746
Sole ProprietorNo
Enumeration DateApril 9, 2025
Last NPPES UpdateOctober 14, 2025
NPPES CertifiedOctober 14, 2025
✔ NPI 1184419467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
1000 EAST MOUNTAIN BLVD, Wilkes-barre, PA 18711
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Luper Isaac Kohol 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.

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.

PASSANG DOLMA M.D.
Hospitalist
1000 EAST MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 808-7399
HEATHER CATHERINE PUGLIESE LCSW
Social Worker (Clinical)
1000 EAST MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 808-7908
KOUSHIK PAUL
Student in an Organized Health Care Education/Training Program
1000 EAST MOUNTAIN BLVD
WILKES-BARRE, PA 18711
Luzerne County (570) 808-3746
DR. MICHAEL TRAKAS M.D.
Anesthesiology
1000 EAST MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 808-7850
THAIS PRATA MIRANDA
Student in an Organized Health Care Education/Training Program
1000 EAST MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 808-5967
DARIUSZ PIOTR BULCZAK MD
Radiology (Diagnostic Radiology)
1000 EAST MOUNTAIN BLVD
WILKES-BARRE, PA 18711
Luzerne County (570) 808-7779
DR. NATHAN MARK OLSON DO
Student in an Organized Health Care Education/Training Program
1000 EAST MOUNTAIN BLVD, ATT:GME-VALLY MEDICAL BUILDING
WILKES BARRE, PA 18711
Luzerne County (570) 808-7300
DR. BOGDAN PROTYNIAK MD, FACS, FASCRS
Colon & Rectal Surgery
1000 EAST MOUNTAIN BLVD, MC: 37-62
WILKES-BARRE, PA 18711
Luzerne County (570) 808-2340

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 Luper Kohol's NPI number?

The NPI number for Luper Kohol is 1184419467. It was assigned to this individual provider in the NPPES registry on April 9, 2025.

Where is Luper Kohol located?

Luper Kohol practices at 1000 East Mountain Blvd, Wilkes-Barre, PA 18711. The listed phone number is (570) 808-3746.

What is Luper Kohol's specialty?

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

Is Luper Kohol enrolled in Medicare?

Yes. Luper Kohol is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Luper Kohol was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.