Samuel Alexander Kociola

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

OS023836 Issued in PA

Practice address

500 Medical Arts BLDG Ste 540
Kittanning, PA 16201-7137

Phone

(724) 543-4942

NPI assigned

Apr 8, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

General Surgery

Education

Lake Erie College of Osteopathic Medicine, Erie, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Glade Run Medical Associates IncGroup PAC ID 3577696897, 27 clinicians

Indiana Healthcare Physician Services IncGroup PAC ID 5294723359, 151 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Acmh Hospital Hospital, Kittanning, PA, CCN 390163
• Indiana Regional Medical Center Hospital, Indiana, PA, CCN 390173

Merit-based Incentive Payment System (MIPS)

Final score

93.9 of 100Reported as apm

Quality

85.02

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: skociola1144843@direct.trinity-health.org
• Direct secure messaging: samuel.kociola@1ah.eclinicaldirectplus.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.

• Glade Run Medical Associates Inc

  • Family Medicine Physician
  • Kittanning, PA
  • NPI 1881820850

  Surgery

  Medicare reassignment Care Compare group NPD
• Indiana Healthcare Physician Services Inc

  • Internal Medicine Physician
  • Indiana, PA
  • NPI 1578523429

  Surgery

  Medicare reassignment Care Compare group NPD
• Glade Run Medical Associates

  • Obstetrics & Gynecology Physician
  • Kittanning, PA
  • NPI 1659693133
  NPD
• Glade Run Medical Associates Inc

  • Gastroenterology Physician
  • Kittanning, PA
  • NPI 1710857776
  NPD

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

• Armstrong County Memorial Hospital

  • Rural Health Clinic/Center
  • Kittanning, PA
  • NPI 1235582552

  Hospital

  Care Compare affiliation
• Armstrong County Memorial Hospital

  • Ambulatory Surgical Clinic/Center
  • Kittanning, PA
  • NPI 1457408973

  Hospital

  Care Compare affiliation
• Armstrong County Memorial Hospital

  • General Acute Care Hospital
  • Kittanning, PA
  • NPI 1568577724
  Care Compare affiliation
• Armstrong County Memorial Hospital

  • Rheumatology Physician
  • Kittanning, PA
  • NPI 1730945833

  Hospital

  Care Compare affiliation
• Armstrong County Memorial Hospital

  • Specialist
  • Kittanning, PA
  • NPI 1801487822

  Hospital

  Care Compare affiliation
• Armstrong County Memorial Hospital

  • Rehabilitation Hospital Unit
  • Kittanning, PA
  • NPI 1811044340
  Care Compare affiliation
• Armstrong County Memorial Hospital

  • Neurology Physician
  • Kittanning, PA
  • NPI 1922624584

  Hospital

  Care Compare affiliation
• Indiana Regional Medical Center

  • Internal Medicine Physician
  • Blairsville, PA
  • NPI 1104055946

  Hospital

  Care Compare affiliation
• Indiana Regional Medical Center

  • Rural Acute Care Hospital
  • Indiana, PA
  • NPI 1356334510
  Care Compare affiliation
• Indiana Regional Medical Center

  • Rural Acute Care Hospital
  • Indiana, PA
  • NPI 1508047630
  Care Compare affiliation
• Indiana Regional Medical Center

  • Rural Acute Care Hospital
  • Indiana, PA
  • NPI 1659315372
  Care Compare affiliation

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

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1467915587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 N MEADOWS DR",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431232546",
            "telephone_number": "614-663-4550",
            "fax_number": "614-663-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MEDICAL ARTS BLDG STE 540",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162017137",
            "telephone_number": "724-543-4942"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5300 N Meadows Dr",
            "address_purpose": "LOCATION",
            "city": "Grove City",
            "state": "OH",
            "postal_code": "431232546",
            "country_code": "US",
            "telephone_number": "614-663-4550",
            "fax_number": "614-663-4555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOCIOLA",
        "first_name": "SAMUEL",
        "middle_name": "ALEXANDER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-08",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "OS023836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Klingensmith Drug Inc
• Klingensmith'S Long Term Care Pharmacy, Inc.
• Sheila M Knell, LPC
• Dana L Knox, AUD
• Erik Koch
• Paul C Konitzky, DO
• Brittney Danee Kopas, CRNA
• Nicole Renee Krupa
• Martha Rafetto Kubatko, PT
• Nadene A. L'Amoreaux, LPC

• Surgery Physician in Kittanning, PA
• Providers in Kittanning, PA by specialty
• Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.