Active NPI
Diana Susan Koshy, M.D.
- Hospitalist Physician
- Winter Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- ME115375
- Practice address
- 200 N Lakemont Ave
Winter Park, FL 32792-3273 - Phone
- (407) 473-3900
- NPI assigned
- Sep 9, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | ME115375 | FL | Primary |
Addresses
Primary practice location
200 N Lakemont Ave
Winter Park, FL 32792-3273
Mailing address
3934 Muzante CT
Orlando, FL 32817-1653
Phone (407) 473-3900
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1055 Saxon Blvd
Orange City, FL 32763-8468
Phone (386) 917-5000
301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167
Phone (386) 231-6000
701 W Plymouth Ave
Deland, FL 32720-3236
Phone (386) 943-4522
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Healthcare Partners, Inc | Current | Accepting new patients | |
| Adventhealth Primary Care Network Inc | Past | Accepting new patients | |
| Memorial Hospital Flagler Inc. | Past | Accepting new patients | |
| Memorial Hospital Flagler Inc | Past | Accepting new patients |
Locations
701 W Plymouth Ave
Deland, FL 32720
Phone (386) 943-3160
1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000
60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000
200 N Lakemont Ave
Winter Park, FL 32792
Phone (407) 646-7000
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- dkoshy57691@adventhealth.direct-ci.com
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Daytona Beach, FL
- NPI 1780100529
-
- Family Medicine Physician
- Altamonte Springs, FL
- NPI 1093493637
-
dba AdventHealth Palm Coast
- General Acute Care Hospital
- Palm Coast, FL
- NPI 1679678486
-
dba AdventHealth Medical Group
- Multi-Specialty Clinic/Center
- Palm Coast, FL
- NPI 1558530600
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth DeLand
- General Acute Care Hospital
- Deland, FL
- NPI 1649367269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437696000000",
"number": "1396052510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3934 MUZANTE CT",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328171653",
"telephone_number": "407-473-3900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N LAKEMONT AVE",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327923273",
"telephone_number": "407-473-3900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSHY",
"first_name": "DIANA",
"middle_name": "SUSAN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-09",
"last_updated": "2015-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "ME115375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2015; 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.