Active NPI
David R. Kosofsky, D.P.M.
- Podiatrist
- Nashua, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 166
- Practice address
- 166 Kinsley St Ste 201
Nashua, NH 03060-3676 - Phone
- (603) 880-9177
- Fax
- (603) 880-9672
- NPI assigned
- Dec 20, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 166 | NH | Primary |
Addresses
Primary practice location
166 Kinsley St Ste 201
Nashua, NH 03060-3676
Mailing address
166 Kinsley St Ste 201
Nashua, NH 03060-3676
Phone (603) 880-9177
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0308265Y0NH02 | Other | NH | ANTHEM BLUE CROSS BLUE SHIELD |
| 30364153 | Medicaid | NH | |
| DC3586 | Other | NH | PALMETTO GBA RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1982
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
165 Mill St
Leominster, MA 01453-3289
Phone (978) 878-8100
175 Connors St
Gardner, MA 01440-2637
Phone (978) 410-6100
326 Nichols Rd
Fitchburg, MA 01420-1914
Phone (978) 878-8100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 65 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0166 | NH | MD | Marriage & Family Therapist |
| 166 | NH | MD | Speech-Language Pathologist |
| 1647 | MA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Joseph Hospital of Nashua NH | Current | Accepting new patients | |
| Community Health Connections, Inc. | Current | Accepting new patients | |
| Community Health Connections, Inc. | Current | Accepting new patients | |
| Community Health Connections, Inc. | Current | Accepting new patients | |
| St Joseph Hospital of Nashua NH | Current | Accepting new patients | |
| Community Health Connections, Inc. | Past | Accepting new patients |
Locations
326 Nichols Rd
Fitchburg, MA 01420
Phone (978) 343-5270
175 Connors St
Gardner, MA 01440
Phone (978) 410-6100
166 Kinsley St
Ste 201
Nashua, NH 03060
Phone (603) 880-9177
172 Kinsley St
Nashua, NH 03060
Phone (603) 595-3926
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Fitchburg, MA
- NPI 1477580827
-
- General Acute Care Hospital
- Nashua, NH
- NPI 1093787384
-
- Urgent Care Clinic/Center
- Milford, NH
- NPI 1437758679
-
- Federally Qualified Health Center (FQHC)
- Gardner, MA
- NPI 1225742174
-
- Federally Qualified Health Center (FQHC)
- Fitchburg, MA
- NPI 1811149586
-
- Federally Qualified Health Center (FQHC)
- Gardner, MA
- NPI 1285630533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265155200000",
"number": "1053397125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "166 KINSLEY ST STE 201",
"city": "NASHUA",
"state": "NH",
"postal_code": "030603676",
"telephone_number": "603-880-9177",
"fax_number": "603-880-9672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "166 KINSLEY ST STE 201",
"city": "NASHUA",
"state": "NH",
"postal_code": "030603676",
"telephone_number": "603-880-9177",
"fax_number": "603-880-9672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSOFSKY",
"first_name": "DAVID",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-20",
"last_updated": "2010-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NH",
"license": "166",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS BLUE SHIELD",
"identifier": "0308265Y0NH02",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30364153",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA RAILROAD MEDICARE",
"identifier": "DC3586",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nashua, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.