Individual provider Active NPI

Eleni Kosmas, MD

  • Family Medicine Physician
  • Cicero, NY
National Provider Identifier
1457377830
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
231009 Issued in NY
Practice address
5586 Legionnaire Dr Ste 2
Cicero, NY 13039-3504
Phone
(315) 699-2837
Fax
(315) 699-2734
NPI assigned
Jul 15, 2006
Last updated
Sep 19, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 231009 NY Primary

Addresses

Primary practice location

5586 Legionnaire Dr Ste 2
Cicero, NY 13039-3504

Mailing address

5586 Legionnaire Dr Ste 2
Cicero, NY 13039-3504
Phone (315) 699-2837

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20060222000578 NY Practitioner - Family Practice 9436165859 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
State University of Ny Upstate Medical University, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cma Medical Practice PLLCGroup PAC ID 7618214560, 28 clinicians

Practice addresses (Care Compare)

101 Dates Dr
Ithaca, NY 14850-1342
Phone (607) 274-4411

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
231009NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Port City Emergency Physicians LLP Current Accepting new patients
Port City Emergency Physicians LLP CurrentSince Dec 26, 2021 Accepting new patients
Port City Emergency Physicians LLP CurrentSince Dec 26, 2021 Accepting new patients
St Josephs Medical PC Family Medicine CurrentSince Jun 1, 2017 Accepting new patients
Cma Medical Practice PLLC CurrentSince Dec 31, 2019 Accepting new patients
North Medical PC Family Medicine Current Accepting new patients
Cardiovascular Specialists PC Past Accepting new patients
Immediate Medical Care of Cny, PC Family Medicine PastSince Nov 1, 2007 Accepting new patients

Locations

3045 East Ave
Central Square, NY 13036
Phone (315) 668-1202

5586 Legionnaire Dr
Ste 1
Cicero, NY 13039
Phone (315) 699-2837

1129 Commons Ave
#C
Cortland, NY 13045
Phone (607) 339-0456

101 Harris B Dates Dr
Ithaca, NY 14850
Phone (607) 274-4011

5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592

110 W 6th St
Oswego, NY 13126
Phone (315) 349-5511

301 Prospect Ave
Rm 1605
Syracuse, NY 13203

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1457377830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5586 LEGIONNAIRE DR STE 2",
            "city": "CICERO",
            "state": "NY",
            "postal_code": "130393504",
            "telephone_number": "315-699-2837",
            "fax_number": "315-699-2734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5586 LEGIONNAIRE DR STE 2",
            "city": "CICERO",
            "state": "NY",
            "postal_code": "130393504",
            "telephone_number": "315-699-2837",
            "fax_number": "315-699-2734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSMAS",
        "first_name": "ELENI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "231009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cicero, NY

Sources for this page

Verify at the official NPI Registry.