Individual provider Active NPI

Norman Kossayda, MD

  • Emergency Medicine Physician
  • Nashua, NH
National Provider Identifier
1215958418
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
45646 Issued in MA
Practice address
172 Kinsley St
Nashua, NH 03060-3648
Phone
(603) 595-3061
Fax
(603) 889-3774
NPI assigned
Jul 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 7087 NH
Emergency Medicine Physician 207P00000X 45646 MA Primary

Addresses

Primary practice location

172 Kinsley St
Nashua, NH 03060-3648

Mailing address

380 Lafayette Rd
Hampton, NH 03842-2222
Phone (603) 926-0088

Other identifiers 9

IdentifierTypeStateIssuer
30007979MedicaidNH
729494OtherTUFTS
AA79918OtherHARVARD PILGRIM
415920OtherCIGNA
0107537Y0NH05OtherNHANTHEM
3073246MedicaidMA
930070458OtherNHRAILROAD MEDICARE
0107537Y0NH03OtherNHANTHEM
P00732350OtherNHRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20040629001061 MA Practitioner - Emergency Medicine 8527967074 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45646MAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Berkshire Medical Center, Inc CurrentSince Jul 19, 2022 Accepting new patients
Berkshire Medical Center Inc. CurrentSince Jul 19, 2022 Accepting new patients
Emergency Physician Associates of Massachusetts PC Emergency Medicine CurrentSince Aug 15, 2023 Accepting new patients
Neighborhealth Corporation CurrentSince Mar 1, 2020 Accepting new patients
Internal Medical Associates-Ebnhc CurrentSince Mar 1, 2020 Accepting new patients
Bayside Emergency Medical Associates, P.C. Emergency Medicine Past Accepting new patients
Inpatient Physicians of Derry PLLC Past Accepting new patients
Greater Nashua Emergency Physicians PC Past Accepting new patients
Emergency Physicians of Derry PLLC Past Accepting new patients

Locations

10 Grove St
East Boston, MA 02128
Phone (617) 569-5800

115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000

725 North St
Pittsfield, MA 01201
Phone (413) 447-2839

123 Summer St
Worcester, MA 01608
Phone (508) 363-6000

Organizations & group practices 9

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": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1215958418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 LAFAYETTE RD",
            "city": "HAMPTON",
            "state": "NH",
            "postal_code": "038422222",
            "telephone_number": "603-926-0088",
            "fax_number": "603-926-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 KINSLEY ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603648",
            "telephone_number": "603-595-3061",
            "fax_number": "603-889-3774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSSAYDA",
        "first_name": "NORMAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NH",
            "license": "7087",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "45646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30007979",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "729494",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA79918",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "415920",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "0107537Y0NH05",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3073246",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "930070458",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "0107537Y0NH03",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00732350",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.