NPIMap

Individual provider Active NPI

James Kos, MD

  • Internal Medicine Physician
  • Ft Lauderdale, FL
National Provider Identifier
1053406207
Registry record updated Feb 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME56264 Issued in FL
Practice address
1930 NE 47TH St
#100
Ft Lauderdale, FL 33308-7718
Phone
(954) 771-3303
Fax
(954) 771-3612
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME56264 FL Primary

Addresses

Primary practice location

1930 NE 47TH St
#100
Ft Lauderdale, FL 33308-7718

Mailing address

1930 NE 47TH St
#100
Ft Lauderdale, FL 33308-7729
Phone (954) 771-3303

Other identifiers 2

IdentifierTypeStateIssuer
09370OtherFLBC
110234599OtherRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110526000615 FL Practitioner - Internal Medicine 1557548674 Reassigns benefits to 1 organization
Practice locations: Fort Lauderdale, FL

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1930 NE 47TH St
Suite 100
Fort Lauderdale, FL 33308-7704
Phone (954) 771-3303

Hospital & facility affiliations

  • Unlimited Health Care Services, Inc. Home health agency, Fort Lauderdale, FL, CCN 109768
  • Continuum Care of Broward LLC Hospice, Sunrise, FL, CCN 101562
  • Holy Cross Hospital Hospital, Ft Lauderdale, FL, CCN 100073
  • Ft Lauderdale Health & Rehabilitation Center Nursing home, Fort Lauderdale, FL, CCN 105298

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME56264FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
James Kos MD PLLC Internal Medicine CurrentSince Jan 1, 2023 Accepting new patients
Continuum Care of Broward LLC PastSince Apr 21, 2021 Accepting new patients

Locations

1930 NE 47th St
Ste 100
Ft Lauderdale, FL 33308
Phone (954) 771-3303

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Continuum Care of Broward LLCSunrise, FL, CCN 101562 Hospice W-2 Managing Employee Apr 21, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266278400000",
    "number": "1053406207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 NE 47TH ST",
            "address_2": "#100",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333087729",
            "telephone_number": "954-771-3303",
            "fax_number": "954-771-3612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 NE 47TH ST",
            "address_2": "#100",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333087718",
            "telephone_number": "954-771-3303",
            "fax_number": "954-771-3612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOS",
        "first_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2010-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME56264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "09370",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "110234599",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.