Daniel Scott Cosgrove, M.D.

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

G47850 Issued in CA

Practice address

45200 Club Dr Ste a
Indian Wells, CA 92210-8837

Phone

(760) 777-8772

Fax

(760) 477-6002

NPI assigned

Mar 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Daniel S Cosgrove, MD, PC

  dba WellMax Center for Preventive Medicine

  • Internal Medicine Physician
  • Indian Wells, CA
  • NPI 1538742671
  NPD (past) Authorized official

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1235257429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45200 CLUB DR STE A",
            "city": "INDIAN WELLS",
            "state": "CA",
            "postal_code": "922108837",
            "telephone_number": "760-777-8772",
            "fax_number": "760-477-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45200 CLUB DR STE A",
            "city": "INDIAN WELLS",
            "state": "CA",
            "postal_code": "922108837",
            "telephone_number": "760-777-8772",
            "fax_number": "760-477-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSGROVE",
        "first_name": "DANIEL",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "CA",
            "license": "G47850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA MEDICAL LICENSE NUMBER",
            "identifier": "G47850",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rene Eduardo Chavez
• City of Indian Wells
• Sarah R Colson, NP
• Connect Hearing, Inc.
• Continental Homecare, Inc. (Continental Hospital Supply Corp.)
• Doriana Cosgrove, MD
• Richard Henry Culhane, MD
• Curtis & Associates Diagnostic Radiology Medical Group Inc
• Stephen Jon Curtis Sr., MD
• Daniel S Cosgrove, MD, PC (WellMax Center for Preventive Medicine)

• Public Health & General Preventive Medicine Physician in Indian Wells, CA
• Providers in Indian Wells, CA by specialty
• Public Health & General Preventive Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.