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DR. NICHOLAS RYAN KOHLER MD
NPI 1497491104
Student in an Organized Health Care Education/Training Program in Saint Louis, MO

Active since May 06, 2022PECOS Enrolled
660 S EUCLID AVE # 8134, SAINT LOUIS, MO 63110(314) 362-2462 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 18, 2022, May 6, 2022 (2 updates tracked since 2022).

About Dr. Nicholas Ryan Kohler Md NPPES

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

DR. NICHOLAS RYAN KOHLER MD (NPI 1497491104) is an individual student in an organized health care education/training program in Saint Louis, Missouri, licensed in Missouri (2022021622) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Rancho Mirage, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1497491104
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. NICHOLAS RYAN KOHLERCredential: MD
Location Address660 S EUCLID AVE # 8134Saint Louis, MO 63110-1010
Mailing Address660 S Euclid Ave # 8134Saint Louis, MO 63110-1010 · (314) 362-2462
Phone(314) 362-2462
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 6, 2022
Last NPPES UpdateJune 17, 20262 updates tracked since enumeration
NPPES CertifiedJune 17, 2026
✔ NPI 1497491104 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 MO · 2022021622
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 ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License A207485 (CA)
660 S EUCLID AVE # 8134, Saint Louis, MO 63110
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Secondary Practice Location 1

Location 139000 Bob Hope DrRancho Mirage, CA 92270-3202 · Phone (760) 837-8767 · Fax (760) 837-8806

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicholas Ryan Kohler Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941768584
PECOS Enrollment IDI20260814000727
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.

Medicare Billing Reassignment

Medicare enrollment records show Nicholas Kohler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Eisenhower Medical Center
1,486 mi
General Acute Care Hospital
81719 DR CARREON BLVD STE B
Indio, CA 92201
  • Reassigned Medicare billing, California enrollment
  • 595 clinicians in this Medicare group
NPI 1114624665 (760) 837-8722

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Nicholas Kohler's NPI number?

The NPI number for Nicholas Kohler is 1497491104. It was assigned to this individual provider in the NPPES registry on May 6, 2022.

Where is Nicholas Kohler located?

Nicholas Kohler practices at 660 S Euclid Ave # 8134, Saint Louis, MO 63110. The listed phone number is (314) 362-2462.

What is Nicholas Kohler's specialty?

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

Is Nicholas Kohler enrolled in Medicare?

Yes. Nicholas Kohler is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicholas Kohler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Kohler reassigns Medicare benefits to Eisenhower Medical Center (Indio, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicholas Kohler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicholas Kohler was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.