Individual provider Active NPI

Susan Carlin Cosgrove, MD

  • Anesthesiology Physician
  • West Hollywood, CA
National Provider Identifier
1336405380
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
274436 Issued in NY
Practice address
8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone
(310) 423-1447
NPI assigned
Apr 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 2017034848 MO
Anesthesiology Physician 207L00000X A-166643 CA
Anesthesiology Physician 207L00000X 274436 NY Primary

Addresses

Primary practice location

8700 Beverly Blvd
West Hollywood, CA 90048-1804

Mailing address

25696 Allen Way
Loma Linda, CA 92354-3728
Phone (516) 455-5001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170626001388 NY Practitioner - Anesthesiology 9234407719 Reassigns benefits to 3 organizations
I20200626000295 CA Practitioner - Anesthesiology 9234407719 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
New York Medical College, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jamaica Anesthesiologist PCGroup PAC ID 1355323460, 80 clinicians

Practice addresses (Care Compare)

8900 Van Wyck Expy
Jamaica, NY 11418-2832
Phone (718) 206-6088

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
84.79
Promoting interoperability
99
Improvement activities
40
Cost
73.15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A-166643CAMDAnesthesiology Physician
2017034848MOMDAnesthesiology Physician
274436NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Darin Rentz DO PC Anesthesiology CurrentSince May 18, 2022 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Trustees of Columbia University in the City of New York Anesthesiology CurrentSince Jun 1, 2017 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Jun 24, 2022 Accepting new patients
Faculty Physicians and Surgeons of Llusm Anesthesiology CurrentSince Jul 1, 2020 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Jun 24, 2022 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Jun 21, 2021 Accepting new patients
Coachella Valley Anesthesia a Professional Corporation Anesthesiology CurrentSince Oct 1, 2023 Accepting new patients
Jamaica Anesthesiologist, PC Anesthesiology CurrentSince Aug 14, 2023 Accepting new patients
Faculty Physicians and Surgeons of Llusm Anesthesiology CurrentSince Jul 1, 2020 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients

Locations

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

600 N Highland Springs Ave
Banning, CA 92220
Phone (833) 443-6287

6601 White Feather Rd
Joshua Tree, CA 92252
Phone (760) 366-1500

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

11234 Anderson St
Rm 2532
Loma Linda, CA 92350
Phone (909) 558-4475

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

350 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-5500

3762 Tibbetts St
Riverside, CA 92506
Phone (951) 686-2224

4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780

8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291

444 S San Vicente Blvd
Ste 603
West Hollywood, CA 90048
Phone (310) 423-1282

80 Marcus Dr
Melville, NY 11747
Phone (631) 391-7889

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

8900 Van Wyck Expy
Richmond Hill, NY 11418
Phone (718) 206-6088

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: scosgrove306887@direct.llu.edu
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

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": "1333497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1336405380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25696 ALLEN WAY",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543728",
            "telephone_number": "516-455-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 BEVERLY BLVD",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481804",
            "telephone_number": "310-423-1447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSGROVE",
        "first_name": "SUSAN",
        "middle_name": "CARLIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-04",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MO",
            "license": "2017034848",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A-166643",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "274436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

Verify at the official NPI Registry.