Individual provider Active NPI

Dana L. Kosmala, D.O.

  • Pediatrics Physician
  • Albany, OR
National Provider Identifier
1275575508
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
DO22897 Issued in OR
Practice address
1123 Hill St SE Ste B
Albany, OR 97322-3292
Phone
(541) 704-7304
NPI assigned
Jun 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X DO22897 OR Primary
Internal Medicine Physician 207R00000X DO22897 OR

Addresses

Primary practice location

1123 Hill St SE Ste B
Albany, OR 97322-3292

Mailing address

1123 Hill St SE Ste B
Albany, OR 97322-3292

Other practice location 1

675 N 5th St Ste 200
Lebanon, OR 97355-2875
Phone (541) 451-6282

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dkosmala4048@samhealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20040706000536 OR Practitioner - Pediatric Medicine 8022095249 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO22897ORMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Columbia Medical Center Pediatrics Current Accepting new patients
Healthcare for the Mid-Columbia Region Current Accepting new patients
Mid-Columbia Medical Center CurrentSince Oct 1, 2024 Accepting new patients
Mid-Columbia Medical Center CurrentSince Oct 1, 2024 Accepting new patients
Firstcare Medical Foundation Internal Medicine Past Accepting new patients
Willamette Valley Pediatrics Pediatrics PastSince Aug 25, 2024 Accepting new patients

Locations

1620 E 12th St
The Dalles, OR 97058
Phone (541) 296-9151

1805 E 19th St
The Dalles, OR 97058
Phone (541) 296-2201

1935 E 19th St
The Dalles, OR 97058
Phone (541) 223-9018

1700 E 19th St
The Dalles, OR 97058
Phone (541) 296-7251

Interoperability endpoints

  • Direct secure messaging: dkosmala180183@direct.ohsu.edu
  • Direct secure messaging: dkosmala790122@direct.ochin.org
  • Direct secure messaging: dkosmala4048@samhealth.direct-ci.com

Organizations & group practices 6

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1275575508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 HILL ST SE STE B",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973223292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 HILL ST SE STE B",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973223292",
            "telephone_number": "541-704-7304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "675 N 5th St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "OR",
            "postal_code": "973552875",
            "country_code": "US",
            "telephone_number": "541-451-6282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOSMALA",
        "first_name": "DANA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "DO22897",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "DO22897",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dkosmala4048@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "675 N 5th St Ste 200",
            "city": "Lebanon",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973552875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albany, OR

Sources for this page

Verify at the official NPI Registry.