DR. UTKARSH KOHLI M.D.
NPI 1538398169
Pediatrics - Pediatric Cardiology in Miami, FL

Q: What is Utkarsh Kohli's NPI number?

The NPI number for Utkarsh Kohli is 1538398169. It was assigned to this individual provider in the NPPES registry on July 2, 2009.

Q: What is Utkarsh Kohli's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Q: When was this NPI record last updated?

The NPPES record for Utkarsh Kohli was last updated on January 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since July 02, 2009PECOS Enrolled

94.1/100

CMS Quality Rating

3100 SW 62ND AVE, MIAMI, FL 33155(305) 666-6511 Get Directions Write a Review

NPPES record last updated: January 28, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 13, 2022, Jul 16, 2021, Jan 3, 2019 and 3 more (6 updates tracked since 2017).

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About Dr. Utkarsh Kohli M.d. NPPES

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

DR. UTKARSH KOHLI M.D. (NPI 1538398169) is an individual pediatric cardiology provider in Miami, Florida, licensed in Florida (ME171905) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538398169

Entity TypeIndividualMale

Primary Taxonomy2080P0202X

Provider Legal NameDR. UTKARSH KOHLICredential: M.D.

Location Address3100 SW 62ND AVEMiami, FL 33155-3009

Mailing Address3100 Sw 62nd AveMiami, FL 33155-3009 · (305) 666-6511

Phone(305) 666-6511

Sole ProprietorYes

Enumeration DateJuly 2, 2009

Last NPPES UpdateJanuary 28, 20256 updates tracked since enumeration

NPPES CertifiedJanuary 28, 2025

✔ NPI 1538398169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0202X

Licenses✔ Licensed in FL · ME171905✔ Licensed in MI · 4301094385

Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

Also ListedPediatricsTaxonomy 208000000X · License 4301094385 (MI)

3100 SW 62ND AVE, Miami, FL 33155

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next and more.Insurance ›

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. Utkarsh Kohli M.d. 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

63 services31 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

29 services21 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.1/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

78.46

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

98%260 patients4/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

57%440 patients3/55-star benchmark: 97%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

70%440 patients3/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

55%440 patients3/55-star benchmark: 89%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

22%440 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

PATRICE NEIL PA-C

Physician Assistant (Medical)

3100 SW 62ND AVE
MIAMI, FL 33155

Miami-Dade County (305) 666-6511

NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC

Pediatrics (Pediatric Cardiology)

3100 SW 62ND AVE, 2ND FLOOR, SUITE A- DEPARTMENT OF CARDIOLOGY
MIAMI, FL 33155

Miami-Dade County (786) 624-5876

LUCILA SERVITJE AZCARRAGA MD

Student in an Organized Health Care Education/Training Program

3100 SW 62ND AVE
MIAMI, FL 33155

Miami-Dade County (305) 669-5873

DR. YELENA SLOBODSCOY IGNATOV BSC, MD

Student in an Organized Health Care Education/Training Program

3100 SW 62ND AVE
MIAMI, FL 33155

Miami-Dade County (305) 669-5873

SIVANESAN SIVAGNANA GANESAN

Student in an Organized Health Care Education/Training Program

3100 SW 62ND AVE
MIAMI, FL 33155

Miami-Dade County (786) 624-2855

HIMANSHU MEENA

Student in an Organized Health Care Education/Training Program

3100 SW 62ND AVE
MIAMI, FL 33155

Miami-Dade County (305) 669-5873

DR. TERESITA FOX M.D.

Pediatrics

3100 SW 62ND AVE
MIAMI, FL 33155

Miami-Dade County (561) 624-9188

MRS. ERIN HERNANDEZ CPNP

Nurse Practitioner (Pediatrics)

3100 SW 62ND AVE
MIAMI, FL 33155

Miami-Dade County (305) 662-8357

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 Utkarsh Kohli's NPI number?

The NPI number for Utkarsh Kohli is 1538398169. It was assigned to this individual provider in the NPPES registry on July 2, 2009.

Where is Utkarsh Kohli located?

Utkarsh Kohli practices at 3100 SW 62nd Ave, Miami, FL 33155. The listed phone number is (305) 666-6511.

What is Utkarsh Kohli's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Utkarsh Kohli enrolled in Medicare?

Yes. Utkarsh Kohli is registered in the Medicare PECOS enrollment system.

What insurance does Utkarsh Kohli accept?

Health plans from Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next, AvMed and CareSource and 3 other insurers list Utkarsh Kohli 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.

When was this NPI record last updated?

The NPPES record for Utkarsh Kohli was last updated on January 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.