Active NPI
Andrew Kossack, MD
- Hospitalist Physician
- Naples, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- ME168495
- Practice address
- 311 9TH St N Ste 300
Naples, FL 34102-5887 - Phone
- (239) 624-0940
- Fax
- (239) 624-0941
- NPI assigned
- Mar 24, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Hospitalist Physician | 208M00000X | ME168495 | FL | Primary |
| Internal Medicine Physician | 207R00000X | ME168495 | FL |
Addresses
Primary practice location
311 9TH St N Ste 300
Naples, FL 34102-5887
Mailing address
350 7TH St N
Naples, FL 34102-5754
Phone (239) 624-5000
Other practice location 1
100 E 77th St
New York, NY 10075-1850
Phone (212) 434-2422
Other practice location 2
350 7th St N
Naples, FL 34102-5754
Phone (239) 624-5000
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
311 9TH St N
Suite 300
Naples, FL 34102-5887
Phone (239) 624-0940
Hospital & facility affiliations
- Naples Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME168495 | FL | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nchmd Inc | Current | Accepting new patients | |
| Nchmd, Inc | Current | Accepting new patients |
Locations
311 Tamiami Trl N
Ste 300
Naples, FL 34102
Phone (239) 213-9970
350 7th St N
Naples, FL 34102
Phone (239) 436-5000
680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711
399 Tamiami Trl N
Ste 300
Naples, FL 34102
Phone (239) 624-4200
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Organizations & group practices 2
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.
-
- Hematology & Oncology Physician
- Naples, FL
- NPI 1831120195
-
- Durable Medical Equipment & Medical Supplies
- Naples, FL
- NPI 1033904651
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Naples, FL
- NPI 1720085137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719187200000",
"number": "1184201485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 7TH ST N",
"city": "NAPLES",
"state": "FL",
"postal_code": "341025754",
"telephone_number": "239-624-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 9TH ST N STE 300",
"city": "NAPLES",
"state": "FL",
"postal_code": "341025887",
"telephone_number": "239-624-0940",
"fax_number": "239-624-0941"
}
],
"practiceLocations": [
{
"address_1": "100 E 77th St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100751850",
"country_code": "US",
"telephone_number": "212-434-2422",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "350 7th St N",
"address_purpose": "LOCATION",
"city": "Naples",
"state": "FL",
"postal_code": "341025754",
"country_code": "US",
"telephone_number": "239-624-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOSSACK",
"first_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-24",
"last_updated": "2024-06-24",
"certification_date": "2024-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "ME168495",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME168495",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.