Individual provider Active NPI

David Paul Kosnosky, DO

  • Internal Medicine Physician
  • Lafayette, LA
National Provider Identifier
1093821340
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DO.000403 Issued in LA
Practice address
500 Patterson Street
Lafayette, LA 70601
Phone
(337) 769-9451
Fax
(337) 439-3224
NPI assigned
Aug 21, 2006
Last updated
Jan 20, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X AK9743091 OH
Internal Medicine Physician 207R00000X DO.000403 LA Primary

Addresses

Primary practice location

500 Patterson Street
Lafayette, LA 70601

Mailing address

2000 Opelousas Street
Lake Charles, LA 70601
Phone (337) 439-9983

Other identifiers 1

IdentifierTypeStateIssuer
0573848MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20160125002159 LA Practitioner - Internal Medicine 4385543305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swla Center for Health ServicesGroup PAC ID 9133029853, 26 clinicians

Practice addresses (Care Compare)

500 Patterson St
Lafayette, LA 70501-1849
Phone 33776994511674

526 Crowley Rayne Hwy
Crowley, LA 70526-8209
Phone 33776994511653

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Swla Center for Health Services CurrentSince Dec 5, 2015 Accepting new patients
Swla Center for Health Services CurrentSince Dec 5, 2015 Accepting new patients
Swla Center for Health Services Past Accepting new patients

Locations

500 Patterson St
Lafayette, LA 70501
Phone (337) 769-9451

2000 Opelousas St
Lake Charles, LA 70601
Phone (318) 439-9983

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453248000000",
    "number": "1093821340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 OPELOUSAS STREET",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "70601",
            "telephone_number": "337-439-9983",
            "fax_number": "337-439-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PATTERSON STREET",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70601",
            "telephone_number": "337-769-9451",
            "fax_number": "337-439-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSNOSKY",
        "first_name": "DAVID",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2016-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "AK9743091",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "DO.000403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0573848",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.