Individual provider Active NPI

Steven Edward Kossman, M.D.

  • Hematology & Oncology Physician
  • San Diego, CA
National Provider Identifier
1477628634
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
G85236 Issued in CA
Practice address
5555 Reservoir Dr Ste 306
San Diego, CA 92120-5178
Phone
(619) 287-9910
Fax
(619) 287-3526
NPI assigned
Nov 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X G85236 CA Primary

Addresses

Primary practice location

5555 Reservoir Dr Ste 306
San Diego, CA 92120-5178

Mailing address

3075 Health Center Drive
Suite 102
San Diego, CA 92123-2773
Phone (619) 637-7888

Other identifiers 2

IdentifierTypeStateIssuer
G85236OtherCACA. LIC.
1629046925OtherCAMEDICAL ONCOLOGY ASSOCIATES OF SAN DIEGO NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20100820000948 CA Practitioner - Hematology/Oncology 2567596869 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Tulane University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3075 Health Ctr Dr
Suite 102
San Diego, CA 92123-2773
Phone (858) 637-7888

Hospital & facility affiliations

  • Grossmont Hospital Hospital, La Mesa, CA, CCN 050026
  • Sharp Memorial Hospital Hospital, San Diego, CA, CCN 050100
  • Sharp Coronado Hospital and Hlthcr Ctr Hospital, Coronado, CA, CCN 050234
  • Scripps Mercy Hospital Hospital, San Diego, CA, CCN 050077
  • Scripps Memorial Hospital la Jolla Hospital, La Jolla, CA, CCN 050324

Merit-based Incentive Payment System (MIPS)

Final score
94.88 of 100Reported as group
Promoting interoperability
92
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Oncology Associates of San Diego a Medical Group Inc Hematology & Oncology CurrentSince Jun 1, 2011 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince May 4, 2013 Accepting new patients
Scripps Health Current Accepting new patients
Sharp Coronado Hospital and Healthcare Center Past Accepting new patients
Sharp Memorial Hospital Past Accepting new patients

Locations

9850 Genesee Ave
Ste 400
La Jolla, CA 92037
Phone (858) 558-8666

230 Prospect Pl
Ste 210
San Diego, CA 92118
Phone (619) 269-4747

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

4060 4th Ave
Ste 440
San Diego, CA 92103
Phone (619) 298-8891

3075 Health Center Dr
Ste 102
San Diego, CA 92123
Phone (858) 637-7888

5555 Reservoir Dr
Ste 306
San Diego, CA 92120
Phone (619) 287-9910

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: skossman32044@scrippshlth.medalliesdirect.net

Organizations & group practices 5

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.

Hospital & facility affiliations 6

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": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1477628634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 HEALTH CENTER DRIVE",
            "address_2": "SUITE 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232773",
            "telephone_number": "619-637-7888",
            "fax_number": "619-637-7887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 RESERVOIR DR STE 306",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205178",
            "telephone_number": "619-287-9910",
            "fax_number": "619-287-3526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSSMAN",
        "first_name": "STEVEN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "G85236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA. LIC.",
            "identifier": "G85236",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ONCOLOGY ASSOCIATES OF SAN DIEGO NPI",
            "identifier": "1629046925",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.