Individual provider Active NPI

Daniel Scott Kosches, M.D.

  • Gastroenterology Physician
  • Fort Lauderdale, FL
National Provider Identifier
1316932296
Registry record updated Oct 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME0061573 Issued in FL
Practice address
4800 NE 20TH Ter Ste 115
Fort Lauderdale, FL 33308-4510
Phone
(954) 267-8866
Fax
(954) 267-0939
NPI assigned
Sep 15, 2005
Last updated
Oct 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME0061573 FL Primary

Addresses

Primary practice location

4800 NE 20TH Ter Ste 115
Fort Lauderdale, FL 33308-4510

Mailing address

4800 NE 20TH Ter Ste 115
Fort Lauderdale, FL 33308-4510
Phone (954) 267-8866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20080709000462 FL Practitioner - Gastroenterology 0547332546 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Rutgers New Jersey Medical School, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Coral Ridge Gastroenterology Associates LLCGroup PAC ID 1658443650, 9 clinicians

Practice addresses (Care Compare)

4800 NE 20 Terrace
Fort Lauderdale, FL 33308-4510
Phone (954) 489-0600

5301 N Dixie Hwy
Suite 202
Oakland Park, FL 33334-3447
Phone (954) 771-9920

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy177
Upper gastrointestinal (GI) endoscopy for acid reflux122

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0061573FLMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coral Ridge Gastroenterology Associates LLC Gastroenterology CurrentSince Oct 1, 2007 Accepting new patients
Gastroenterology Assoc PA Past Accepting new patients

Locations

4800 NE 20th Ter
Ste 115
Ft Lauderdale, FL 33308
Phone (954) 491-1111

5301 N Dixie Hwy
Ste 202
Oakland Park, FL 33334
Phone (954) 202-7850

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696723200000",
    "number": "1316932296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 NE 20TH TER STE 115",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084510",
            "telephone_number": "954-267-8866",
            "fax_number": "954-267-0939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 NE 20TH TER STE 115",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084510",
            "telephone_number": "954-267-8866",
            "fax_number": "954-267-0939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSCHES",
        "first_name": "DANIEL",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2023-10-08",
        "certification_date": "2023-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME0061573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.