Anastasia Koss, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

36003807 Issued in OH

Practice address

6474 Centerville Business Pkwy
Dayton, OH 45459-2633

Phone

(937) 435-7477

Fax

(937) 435-6644

NPI assigned

May 6, 2014

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Anastasia Samouilov Former name

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Foot and Ankle Physicians of Ohio LLCGroup PAC ID 5395002844, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Doctors Hospital Hospital, Columbus, OH, CCN 360152

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• Foot and Ankle Physicians of Ohio, LLC

  • Podiatrist
  • Grove City, OH
  • NPI 1922526698

  Single Specialty

  Medicare reassignment Care Compare group NPD

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

• Ohiohealth Corporation

  dba Doctors Hospital

  • General Acute Care Hospital
  • Columbus, OH
  • NPI 1972535052
  Care Compare affiliation

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1316357858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6474 CENTERVILLE BUSINESS PKWY",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454592633",
            "telephone_number": "937-435-7477",
            "fax_number": "937-435-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6474 CENTERVILLE BUSINESS PKWY",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454592633",
            "telephone_number": "937-435-7477",
            "fax_number": "937-435-6644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4100 W 3rd St",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454289000",
            "country_code": "US",
            "telephone_number": "937-268-6511 x2971",
            "fax_number": "937-267-5395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOSS",
        "first_name": "ANASTASIA",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-06",
        "last_updated": "2022-07-21",
        "certification_date": "2020-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36003807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0223320",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANASTASIA",
            "last_name": "SAMOUILOV",
            "credential": "DPM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jenna Christine Korsog, CPNP-PC
• John Richard Korte, PH.D.
• Beth Ann Kortjohn
• Amy Elizabeth Kosanovich, CPNP-PC
• Jessica Koski, LPC
• Kim Richard Koster, M.D.
• Casey Ann Koth
• Harsh Kothari, MD
• Madison Koufoudakis
• Peter Constantine Koumas, DO

• Podiatrist in Dayton, OH
• Providers in Dayton, OH by specialty
• Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.