Individual provider Active NPI

Martin A Kosdrosky, MD

  • Urology Physician
  • Middleburg Heights, OH
National Provider Identifier
1164490496
Registry record updated Apr 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
35081901K Issued in OH
Practice address
6900 Pearl Road
2ND Floor
Middleburg Heights, OH 44130
Phone
(440) 845-0900
Fax
(440) 845-7355
NPI assigned
Mar 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 35081901K OH Primary

Addresses

Primary practice location

6900 Pearl Road
2ND Floor
Middleburg Heights, OH 44130

Mailing address

6900 Pearl Road
2ND Floor
Middleburg Heights, OH 44130
Phone (440) 845-0900

Other identifiers 1

IdentifierTypeStateIssuer
2359040MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Toledo College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6900 Pearl Rd
FL 2
Middleburg Heights, OH 44130-3639

6900 Pearl Rd
Suite 200
Cleveland, OH 44130-3640

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35081901KOHMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Urology, LLC Urology CurrentSince Jan 1, 2003 Accepting new patients

Locations

970 E Washington St
Ste 5D
Medina, OH 44256
Phone (330) 725-0600

970 E Washington St
Ste 5C
Medina, OH 44256
Phone (330) 725-0600

3647 Medina Rd
Medina, OH 44256
Phone (234) 205-2040

6900 Pearl Rd
Ste 200
Middleburg Heights, OH 44130
Phone (440) 845-0900

7255 Old Oak Blvd
Ste C412
Middleburg Heights, OH 44130
Phone (440) 816-4546

6900 Pearl Rd
Fl 2
Middleburg Heights, OH 44130
Phone (440) 845-0900

6707 Powers Blvd
Ste 309
Parma, OH 44129
Phone (440) 886-5558

18181 Pearl Rd
Strongsville, OH 44136
Phone (440) 816-4976

Interoperability endpoints

  • Direct secure messaging: mkosdrosky37662@ehrdirect.uhhospitals.org

Organizations & group practices 1

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 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": "1142035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334275200000",
    "number": "1164490496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 PEARL ROAD",
            "address_2": "2ND FLOOR",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "44130",
            "telephone_number": "440-845-0900",
            "fax_number": "440-845-7355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 PEARL ROAD",
            "address_2": "2ND FLOOR",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "44130",
            "telephone_number": "440-845-0900",
            "fax_number": "440-845-7355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSDROSKY",
        "first_name": "MARTIN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-11",
        "last_updated": "2012-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OH",
            "license": "35081901K",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2359040",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.