Active NPI
Kossa Diomande
- Physician Assistant
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MED-P
- Practice address
- 100 Funkhouser Building
Lexington, KY 40506-0001 - Phone
- (859) 257-1754
- NPI assigned
- May 6, 2019
- Last updated
- Aug 28, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MED-P | MT | Primary |
Addresses
Primary practice location
100 Funkhouser Building
Lexington, KY 40506-0001
Mailing address
3099 Kirklevington Dr Apt 138
Lexington, KY 40517-2480
Phone (859) 494-5888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1106 Sunset Ave
Clinton, NC 28328-3820
Phone (910) 828-1131
2265 NC Hwy 24 27 E
Biscoe, NC 27209-9758
Phone (919) 828-1131
2807 Raeford Rd
Fayetteville, NC 28303-5437
Phone (910) 828-1131
41 Bain St
Lillington, NC 27546-6185
Phone (843) 322-1933
4612 Main St
Shallotte, NC 28470-4452
Phone (910) 444-2970
493 CC Camp Rd
Elkin, NC 28621-8703
Phone (252) 673-3826
5156 US 29 Business
Reidsville, NC 27320-7998
Phone (910) 828-1131
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.89 of 100
- Quality
- 73.2
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.78
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.12 of 100
- Quality
- 71.48
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.58
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4793 | OK | MD | Clinical Social Worker |
| MED-P | MT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carthage Area Hospital Inc | Current | Accepting new patients | |
| Carthage Area Hospital Inc. | Current | Accepting new patients | |
| County of Rosebud | Past | Accepting new patients |
Locations
1001 West St
Carthage, NY 13619
Phone (315) 493-1000
Organizations & group practices 6
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.
-
dba Carolina QuickCare Family Practice
- Internal Medicine Physician
- Biscoe, NC
- NPI 1881360899
-
- Critical Access Hospital
- Carthage, NY
- NPI 1053497388
-
- Emergency Medicine Physician
- Rochester, NY
- NPI 1003075029
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Ogdensburg, NY
- NPI 1013759166
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Carthage, NY
- NPI 1801007364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566950400000",
"number": "1427613470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3099 KIRKLEVINGTON DR APT 138",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405172480",
"telephone_number": "859-494-5888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 FUNKHOUSER BUILDING",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405060001",
"telephone_number": "859-257-1754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIOMANDE",
"first_name": "KOSSA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-06",
"last_updated": "2019-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MT",
"license": "MED-P",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; 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.