Active NPI
Dana L. Kosmala, D.O.
- Pediatrics Physician
- Albany, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- DO22897
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO22897 | OR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Columbia Medical Center | Pediatrics | Current | Accepting new patients |
| Healthcare for the Mid-Columbia Region | Current | Accepting new patients | |
| Mid-Columbia Medical Center | Current | Accepting new patients | |
| Mid-Columbia Medical Center | Current | Accepting new patients | |
| Firstcare Medical Foundation | Internal Medicine | Past | Accepting new patients |
| Willamette Valley Pediatrics | Pediatrics | Past | 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
- dkosmala180183@direct.ohsu.edu
- dkosmala790122@direct.ochin.org
- 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.
-
- General Practice Physician
- The Dalles, OR
- NPI 1053409599
-
- Emergency Medicine Physician
- The Dalles, OR
- NPI 1497797856
-
- Urology Physician
- The Dalles, OR
- NPI 1164735478
-
- Pediatrics Physician
- Albany, OR
- NPI 1427550557
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.