Philip Kodsy

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

4704307415 Issued in MI

Practice address

22101 Moross Rd
Detroit, MI 48236

Phone

(313) 343-4000

NPI assigned

Jul 23, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hurley Medical CenterGroup PAC ID 2961308481, 336 clinicians

Henry Ford Health St. John HospitalGroup PAC ID 3173424082, 332 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Henry Ford Health St John Hospital Hospital, Detroit, MI, CCN 230165
• Hurley Medical Center Hospital, Flint, MI, CCN 230132

Merit-based Incentive Payment System (MIPS)

Final score

92.4 of 100Reported as group

Quality

66.97

Promoting interoperability

100

Improvement activities

40

Cost

75.88

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pkodsy1134969@direct.hfhs.org

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.

• Henry Ford Health St. John Hospital

  • Certified Registered Nurse Anesthetist
  • Detroit, MI
  • NPI 1598896995

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Hurley Medical Center

  • Certified Registered Nurse Anesthetist
  • Flint, MI
  • NPI 1558397653

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Asa Staffing Inc

  • Certified Registered Nurse Anesthetist
  • Rochester, MI
  • NPI 1114378981

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Macomb Endoscopy Center PLC

  • Ambulatory Surgical Clinic/Center
  • Macomb, MI
  • NPI 1780923128
  Medicare reassignment NPD
• Paragon Anesthesia PLLC

  • Anesthesiology Physician
  • Birmingham, MI
  • NPI 1356940670
  Medicare reassignment NPD
• Southfield Rehabilitation Company

  • General Acute Care Hospital
  • Southfield, MI
  • NPI 1790785095

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Surgical Centers of Michigan, LLC.

  • Ambulatory Surgical Clinic/Center
  • Troy, MI
  • NPI 1962463133
  Medicare reassignment NPD
• Hurley Medical Center

  • Plastic and Reconstructive Surgery Physician
  • Flint, MI
  • NPI 1689345761
  NPD
• Macomb Endoscopy Center, PLC

  • Anesthesiology Physician
  • Macomb, MI
  • NPI 1821498536
  NPD
• Southfield Rehabilitation Company

  • Diagnostic Radiology Physician
  • Dearborn, MI
  • NPI 1285906792
  NPD
• Surgical Centers of Michigan, LLC

  • Anesthesiology Physician
  • Troy, MI
  • NPI 1518367234
  NPD
• Henry Ford Health St. John Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1023088168
  NPD

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

• Hurley Medical Center

  • General Acute Care Hospital
  • Flint, MI
  • NPI 1598717480
  Care Compare affiliation
• Henry Ford Health St. John Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1023088168
  Care Compare affiliation

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536019200000",
    "number": "1477030575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55226 NILE WAY",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480426194",
            "telephone_number": "586-883-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22101 MOROSS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48236",
            "telephone_number": "313-343-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Hurley Plz",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485035902",
            "country_code": "US",
            "telephone_number": "810-262-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KODSY",
        "first_name": "PHILIP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-23",
        "last_updated": "2018-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704307415",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704307415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Elizabeth Kocenda, ACNP
• Joya D Koch, CRNA
• Adam Scott Kociba, DO
• Pooja Kodali, MD
• Bismark Kodji, MD
• Vishnu Kodumuru, PT
• Jill E. Koehler, M.D.
• Katherine Koehler, RN
• Kimberlie Koehler
• Tony Koehn

• Certified Registered Nurse Anesthetist in Detroit, MI
• Providers in Detroit, MI by specialty
• Certified Registered Nurse Anesthetist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.