Organization Active NPI

William D. Kossow, M.D. P.a.

  • Physical Medicine & Rehabilitation Physician
  • Salina, KS
National Provider Identifier
1124052139
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
0424948 Issued in KS
Legal business name
WILLIAM D. KOSSOW, M.D. P.A.
Practice address
520 S Santa Fe Ave
Suite 440
Salina, KS 67401-4190
Phone
(785) 823-8686
Fax
(785) 823-8876
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
William D. Kossow, MDNPI 1265450480
Title
Owner
Phone
(785) 823-8686

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 0424948 KS Primary

Addresses

Primary practice location

520 S Santa Fe Ave
Suite 440
Salina, KS 67401-4190

Mailing address

520 S Santa Fe Ave
Suite 440
Salina, KS 67401-4190
Phone (785) 823-8686

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050211000613 KS Part B Supplier - Clinic/Group Practice 7214989870 Receives reassigned benefits from 1 practitioner
Practice locations: Salina, KS

National Provider Directory

National Provider Directory

Locations

1900 S Ohio St
Ste 211
Salina, KS 67401
Phone (785) 823-8686

2525 S Ohio St
Ste 1
Salina, KS 67401
Phone (785) 823-8686

520 S Santa Fe Ave
Ste 440
Salina, KS 67401
Phone (785) 823-8686

2075 S Ohio St
Ste 8
Salina, KS 67401

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124052139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S SANTA FE AVE",
            "address_2": "SUITE 440",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674014190",
            "telephone_number": "785-823-8686",
            "fax_number": "785-823-8876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S SANTA FE AVE",
            "address_2": "SUITE 440",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674014190",
            "telephone_number": "785-823-8686",
            "fax_number": "785-823-8876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM D. KOSSOW, M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOSSOW",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-823-8686",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "KS",
            "license": "0424948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salina, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.