Klajdi Kosovrasti

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA7920 Issued in MA

Practice address

500 Lincoln St
Worcester, MA 01605-1916

Phone

(774) 420-2111

NPI assigned

Jan 9, 2020

Last updated

Jun 29, 2021By the provider in NPPES

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

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Community Health Connections, IncGroup PAC ID 8729074992, 91 clinicians

Urgent Care Centers of Central Massachusetts LLCGroup PAC ID 1557639366, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Umass Memorial Healthalliance Hospitals Hospital, Leominster, MA, CCN 220001

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Community Health Connections, Inc.

  • Federally Qualified Health Center (FQHC)
  • Fitchburg, MA
  • NPI 1477580827
  Medicare reassignment Care Compare group NPD
• Med-Ex, LLC

  dba Acton Urgent Care

  • Urgent Care Clinic/Center
  • Acton, MA
  • NPI 1770089997
  Medicare reassignment NPD
• Afc Physicians of Massachusetts, PC

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Worcester, MA
  • NPI 1740672989
  Medicare reassignment
• Community Health Connections, Inc.

  dba South Gardner Community Health Center and Urgent Care

  • Federally Qualified Health Center (FQHC)
  • Gardner, MA
  • NPI 1225742174
  NPD
• Urgent Care Centers of Central Massachusetts, LLC

  dba CareWell Urgent Care

  • Urgent Care Clinic/Center
  • Worcester, MA
  • NPI 1659802783
  NPD
• Community Health Connections, Inc.

  dba Gardner Community Health Connections

  • Federally Qualified Health Center (FQHC)
  • Gardner, MA
  • NPI 1285630533
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Umass Memorial Healthalliance Clinton Hospital Inc

  • General Acute Care Hospital
  • Leominster, MA
  • NPI 1013995133
  Care Compare affiliation
• Umass Memorial Healthalliance Clinton Hospital Inc

  • Psychiatric Hospital Unit
  • Clinton, MA
  • NPI 1285171934
  Care Compare affiliation

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1265072169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 LINCOLN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016051916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LINCOLN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016051916",
            "telephone_number": "774-420-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSOVRASTI",
        "first_name": "KLAJDI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-09",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA7920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helena M Korsah
• Kathleen Korycki
• Paul Daniel Korytkowski, MD
• Mary Katherine Kosciusko, MD
• Alisa L Kosla, NP
• Zlatina Kostova
• Hemang Kotecha, D.O.
• Dhruva Kumar Kothari, M.D.
• Kevin A. Kotkowski, MD
• Jennifer Lynn Kotoch, OTR

• Physician Assistant in Worcester, MA
• Providers in Worcester, MA by specialty
• Physician Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.

Verify at the official NPI Registry.