Raegan Nichole Kotsko, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

25MA08291900 Issued in NJ

Practice address

1600 Haddon Ave
Department of OB GYN
Camden, NJ 08103-3101

Phone

(856) 757-3500

NPI assigned

May 14, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Obstetrics/Gynecology

Education

West Virginia University School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mid-Atlantic Womens Care PLCGroup PAC ID 8820998156, 98 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sentara Virginia Beach General Hospital Hospital, Virginia Beach, VA, CCN 490057

Merit-based Incentive Payment System (MIPS)

Final score

85.45 of 100Reported as group

Quality

76.15

Promoting interoperability

100

Improvement activities

40

Cost

75.34

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: raegan.kotsko.1@22824.direct.athenahealth.com

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.

• Mid-Atlantic Womens Care PLC

  • Obstetrics & Gynecology Physician
  • Virginia Beach, VA
  • NPI 1699365072
  Medicare reassignment Care Compare group NPD
• Lourdes Medical Associates PA

  • Family Medicine Physician
  • Haddon Heights, NJ
  • NPI 1568441541

  Obstetrics & Gynecology

  NPD (past)
• Lourdes Medical Associates, PA

  • Surgery Physician
  • Moorestown, NJ
  • NPI 1952645525
  NPD (past)
• Mid-Atlantic Womens Care PLC

  • Obstetrics & Gynecology Physician
  • Virginia Beach, VA
  • NPI 1851339246
  NPD (past)

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

• Sentara Hospitals

  • General Acute Care Hospital
  • Virginia Beach, VA
  • NPI 1629038336
  Care Compare affiliation

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197504000000",
    "number": "1356557805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 GROVE ST",
            "address_2": "SUITE 100",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351702",
            "telephone_number": "856-796-9200",
            "fax_number": "856-310-5603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 HADDON AVE",
            "address_2": "DEPARTMENT OF OB GYN",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081033101",
            "telephone_number": "856-757-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTSKO",
        "first_name": "RAEGAN",
        "middle_name": "NICHOLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA08291900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "25MA08291900",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Anne Kopp, M.D.
• Phillip A Koren, MD
• Savanah Korzeniewski
• Nikhil Kothari, M.D.
• Pankti D. Kothari, MD
• Fuen Zenani Kouanang, CRNA
• Michael Kouch, MD
• Danielle Marie Kovalsky, MD
• Karen Lynn Kramer, MSN, RN, APN, C
• Natalene P. Kramer, CRNP

• Obstetrics & Gynecology Physician in Camden, NJ
• Providers in Camden, NJ by specialty
• Obstetrics & Gynecology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.