Terry J Kosinski, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E3705 Issued in AR

Practice address

333 Stadium Blvd
Jonesboro, AR 72401

Phone

(870) 932-3339

Fax

(870) 933-1824

NPI assigned

Apr 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Indiana University School of Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Bernards Physician Clinics IncGroup PAC ID 7012311269, 211 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Bernards Home Care Home health agency, Jonesboro, AR, CCN 047033
• St Bernards Medical Center Hospital, Jonesboro, AR, CCN 040020
• Baptist Memorial Hospital Jonesboro, Inc. Hospital, Jonesboro, AR, CCN 040118

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tkosinski@stbfc.gwaydirect.com

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.

• St Bernards Physician Clinics Inc

  • Surgery Physician
  • Jonesboro, AR
  • NPI 1447923438
  Medicare reassignment Care Compare group NPD
• St Bernards Physician Clinics Inc

  • Diagnostic Radiology Physician
  • Jonesboro, AR
  • NPI 1780546051
  NPD
• St Bernards Physician Clinics, Inc.

  • Dermatology Physician
  • Jonesboro, AR
  • NPI 1447958855
  NPD
• Dunes Optical, LLC

  • Optometrist
  • Michigan City, IN
  • NPI 1306943436
  NPD (past)
• Medical Group Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Michigan City, IN
  • NPI 1760518617
  NPD (past)

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

• Baptist Memorial Hospital-Jonesboro Inc

  • General Acute Care Hospital
  • Jonesboro, AR
  • NPI 1386699353
  Care Compare affiliation
• St Bernards Hospital Inc

  • Home Health Agency
  • Jonesboro, AR
  • NPI 1023048659
  Care Compare affiliation
• St Bernards Hospital Inc

  • General Acute Care Hospital
  • Jonesboro, AR
  • NPI 1922043686
  Care Compare affiliation

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1093778136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1331",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724031331",
            "telephone_number": "870-932-3339",
            "fax_number": "870-933-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 STADIUM BLVD",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "72401",
            "telephone_number": "870-932-3339",
            "fax_number": "870-933-1824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSINSKI",
        "first_name": "TERRY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E3705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "03090023800",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00042712",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Ellen Komara, MS, CCC SLP
• Aqsa Komel, MD
• Sara Ann Kopp, CNP
• Brandi G. Koschmann, LCSW
• Martin Kosciuk, MD
• Amirah Koster, IBCLC
• Susan Krause
• Jared E Krocker
• Kroger Limited Partnership I
• Raeann Elizabeth Krotzer

• Family Medicine Physician in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.

Verify at the official NPI Registry.