Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

CHRISTOPHER KOEHLER MD
NPI 1487392122
Student in an Organized Health Care Education/Training Program in Providence, RI

Q: What is Christopher Koehler's NPI number?

The NPI number for Christopher Koehler is 1487392122. It was assigned to this individual provider in the NPPES registry on May 23, 2022.

Q: What is Christopher Koehler's specialty?

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

Active since May 23, 2022PECOS Enrolled

593 EDDY ST, PROVIDENCE, RI 02903(401) 444-4000 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 8, 2026, May 23, 2022 (2 updates tracked since 2022).

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About Christopher Koehler Md NPPES

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

CHRISTOPHER KOEHLER MD (NPI 1487392122) is an individual student in an organized health care education/training program in Providence, Rhode Island, licensed in Rhode Island (CLP05534) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487392122

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameCHRISTOPHER KOEHLERCredential: MD

Location Address593 EDDY STProvidence, RI 02903-4923

Mailing Address3323 E Elmwood PlChandler, AZ 85249-4558 · (425) 442-4124

Phone(401) 444-4000

Sole ProprietorNo

Enumeration DateMay 23, 2022

Last NPPES UpdateJuly 8, 20262 updates tracked since enumeration

NPPES CertifiedJuly 8, 2026

✔ NPI 1487392122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in RI · CLP05534

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.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 79655 (AZ)

593 EDDY ST, Providence, RI 02903

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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)

Christopher Koehler 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.

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.

DR. CHANDAN LAKHIANI MD

Pediatrics

593 EDDY ST, HASBRO LL
PROVIDENCE, RI 02903

Providence County (401) 444-4691

RACHEL ALLISON ALTURA MD

Pediatrics (Pediatric Hematology-Oncology)

593 EDDY ST, HASBRO LL
PROVIDENCE, RI 02903

Providence County (401) 444-5241

MOHAMMED FAIZAN M.D.

Pediatrics (Pediatric Nephrology)

593 EDDY ST, HASBRO 122
PROVIDENCE, RI 02903

Providence County (401) 444-6195

ZHANHONG MI CNP

Nurse Practitioner

593 EDDY ST, APC 456
PROVIDENCE, RI 02903

Providence County (401) 444-5545

KEITH B SUNDERLIN PAC

Physician Assistant

593 EDDY ST, APC 4
PROVIDENCE, RI 02903

Providence County (401) 444-4000

DR. MARK E. MATTINGLY M.D.

Internal Medicine

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 444-3985

MS. JO-ANN BERGERON POLSKY BS, MPH, RD

Nutritionist

593 EDDY ST, RHODE ISLAND HOSPITAL POB 334
PROVIDENCE, RI 02903

Providence County (401) 444-4422

DR. SUZANNE E MCLAUGHLIN M.D.

Internal Medicine

593 EDDY ST, POB-224 MED/PEDS CLINIC
PROVIDENCE, RI 02903

Providence County (401) 444-6118

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 Christopher Koehler's NPI number?

The NPI number for Christopher Koehler is 1487392122. It was assigned to this individual provider in the NPPES registry on May 23, 2022.

Where is Christopher Koehler located?

Christopher Koehler practices at 593 Eddy St, Providence, RI 02903. The listed phone number is (401) 444-4000.

What is Christopher Koehler's specialty?

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

Is Christopher Koehler enrolled in Medicare?

Yes. Christopher Koehler is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Christopher Koehler was last updated on July 8, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.