Individual provider Active NPI

Sanja Cosic, MD

  • Pediatrics Physician
  • Tampa, FL
National Provider Identifier
1174517718
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME67362 Issued in FL
Practice address
5001 E Busch Blvd
Tampa, FL 33617-5303
Phone
(813) 984-8846
Fax
(813) 988-8827
NPI assigned
Sep 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME67362 FL Primary

Addresses

Primary practice location

5001 E Busch Blvd
Tampa, FL 33617-5303

Mailing address

5001 E Busch Blvd
Tampa, FL 33617-5303
Phone (813) 984-8846

Other identifiers 1

IdentifierTypeStateIssuer
252248900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20130522000394 FL Practitioner - Pediatric Medicine 9830337328 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Health Care, Inc. Current Accepting new patients
Central Florida Health Care, Inc. CurrentSince Feb 20, 2013 Accepting new patients
Central Florida Health Care, Inc CurrentSince Feb 20, 2013 Accepting new patients
Julia Barriga M.D., P.a. PastSince Oct 25, 2020 Accepting new patients

Locations

950 County Road 17A W
Avon Park, FL 33825
Phone (863) 452-3000

109 W Wall St
Frostproof, FL 33843
Phone (863) 635-4891

305 W Central Ave
Fl Heal
Lake Wales, FL 33853

1129 N Missouri Ave
Lakeland, FL 33805
Phone (863) 413-8600

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1174517718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 E BUSCH BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336175303",
            "telephone_number": "813-984-8846",
            "fax_number": "813-988-8827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 E BUSCH BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336175303",
            "telephone_number": "813-984-8846",
            "fax_number": "813-988-8827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSIC",
        "first_name": "SANJA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-09",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME67362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252248900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.