Active NPI
Martin A Kosdrosky, MD
- Urology Physician
- Middleburg Heights, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 35081901K
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2359040 | Medicaid | OH |
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 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35081901K | OH | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Urology, LLC | Urology | Current | 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
- 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.
-
dba SouthWest Urology
- Urology Physician
- Middleburg Heights, OH
- NPI 1962428136
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1154353993
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.