DR. JONATHAN S KOELLE MD
NPI 1609803824
Psychiatry & Neurology - Psychiatry in La Mesa, CA

Active since June 26, 2006PECOS EnrolledAccepts Medicare Assignment
4700 SPRING ST, SUITE 220, LA MESA, CA 91951(619) 667-3380(619) 667-0815 Get Directions Write a Review

NPPES record last updated: February 21, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 21, 2020, Sep 13, 2019 (2 updates tracked since 2019).

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

NPI1609803824
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. JONATHAN S KOELLECredential: MD
Location Address4700 SPRING ST, SUITE 220La Mesa, CA 91951-5274
Mailing AddressPo Box 609001San Diego, CA 92160-9001 · (619) 528-4600 · Fax (619) 528-4625
Fax(619) 667-0815
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 1987
Enumeration DateJune 26, 2006
Last NPPES UpdateFebruary 21, 20202 updates tracked since enumeration
NPI 1609803824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in CA · G79002
Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

4700 SPRING ST, La Mesa, CA 91951

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID1254400583
PECOS Enrollment IDI20080513000377
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

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
33 services17 patients

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.

New Patient
$184.71 typical visit price
range $62.10 – $184.71
Typical copayment $46.17 (range $15.52 – $46.17)
Most-billed visit code 99205
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

What insurance does Jonathan Koelle accept?

Health plans from Providence Health Plan list Jonathan Koelle 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 Jonathan Koelle was last updated on February 21, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.