Individual provider Active NPI

Doriana Cosgrove, MD

  • Anesthesiology Physician
  • Indian Wells, CA
National Provider Identifier
1336204106
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A61882 Issued in CA
Practice address
45200 Club Dr
Ste a
Indian Wells, CA 92210-8837
Phone
(760) 777-8772
NPI assigned
Dec 22, 2006
Last updated
Apr 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A61882 CA Primary

Addresses

Primary practice location

45200 Club Dr
Ste a
Indian Wells, CA 92210-8837

Mailing address

45200 Club Dr
Ste a
Indian Wells, CA 92210
Phone (760) 777-8772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A61882CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph Elisha, M.D., Inc. Anesthesiology Past Accepting new patients
Desert Anestheisa Medical Group Past Accepting new patients
KPB Anesthesia Medical Group Inc. Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1336204106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45200 CLUB DR",
            "address_2": "STE A",
            "city": "INDIAN WELLS",
            "state": "CA",
            "postal_code": "92210",
            "telephone_number": "760-777-8772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45200 CLUB DR",
            "address_2": "STE A",
            "city": "INDIAN WELLS",
            "state": "CA",
            "postal_code": "922108837",
            "telephone_number": "760-777-8772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSGROVE",
        "first_name": "DORIANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A61882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Wells, CA

Sources for this page

Verify at the official NPI Registry.