DR. JONATHAN S KOELLE MD
NPI 1609803824
Psychiatry & Neurology - Psychiatry in La Mesa, CA
About Dr. Jonathan S Koelle Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JONATHAN S KOELLE MD (NPI 1609803824) is an individual psychiatry provider in La Mesa, California, licensed in California (G79002) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania State University College Of Medicine (1987).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Jonathan S Koelle Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Jonathan Koelle reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Diego, CA 92123
- Reassigned Medicare billing, California enrollment
- 1,437 clinicians in this Medicare group
Fresno, CA 93710
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Mark David Levine MD Professional Corporation
- 329 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91951 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Jonathan Koelle's NPI number?
The NPI number for Jonathan Koelle is 1609803824. It was assigned to this individual provider in the NPPES registry on June 26, 2006.
Where is Jonathan Koelle located?
Jonathan Koelle practices at 4700 Spring St Suite 220, La Mesa, CA 91951. The listed phone number is (619) 667-3380.
What is Jonathan Koelle's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Jonathan Koelle enrolled in Medicare?
Yes. Jonathan Koelle is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jonathan Koelle's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Koelle reassigns Medicare benefits to 2 organizations: Emergency And Acute Care Medical Corporation (San Diego, CA) and Mark David Levine, MD Fresno (Fresno, CA). Each 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 Jonathan Koelle'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 Jonathan Koelle was last updated on February 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.
# Dr. Jonathan S Koelle, MD · NPI 1609803824
Psychiatry physician in La Mesa, California. Individual provider, active in the CMS NPPES registry since June 26, 2006.
## Identity
- **NPI:** 1609803824 (Entity type: Individual)
- **Enumerated:** June 26, 2006
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** G79002 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4700 SPRING ST, SUITE 220, La Mesa, CA 91951-5274
- **Phone:** (619) 667-3380 · **Fax:** (619) 667-0815
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Emergency And Acute Care Medical Corporation (NPI 1437103942, San Diego, CA); Mark David Levine, MD Fresno (NPI 1124387097, Fresno, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Pennsylvania State University College Of Medicine, class of 1987
## Record status
- **NPPES last updated:** February 21, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1609803824) · Data from the CMS NPPES public registry.