Active NPI
Martin Kosciuk, MD
- Emergency Medicine Physician
- Jonesboro, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- R0048
- Practice address
- 225 E Jackson Ave
Emergency Department
Jonesboro, AR 72401-3119 - Phone
- (870) 207-5234
- NPI assigned
- Aug 13, 2007
- Last updated
- Jan 22, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | R0048 | TX | Primary |
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | E-6938 | AR |
Addresses
Primary practice location
225 E Jackson Ave
Emergency Department
Jonesboro, AR 72401-3119
Mailing address
1201 W Frank Ave
Lufkin, TX 75904-3357
Phone (714) 454-6056
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4500 E Sam Houston Pkwy S
CHI St Lukes Health Patients Medi
Pasadena, TX 77505-3959
Phone (713) 948-7000
505 S John Redditt Dr
Lufkin, TX 75904-3120
Phone (936) 637-8567
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0048 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Angelina Emergency Medicine Associates PA | Emergency Medicine | Current | Accepting new patients |
| Acs Primary Care Physicians Southwest, PA | Emergency Medicine | Current | Accepting new patients |
| Integrative Emergency Services Physician Group-Houston PLLC | Emergency Medicine | Current | Accepting new patients |
| Bonita Creek Emergency Services PLLC | Emergency Medicine | Current | Accepting new patients |
| T M Carr MD PC | Emergency Medicine | Past | Accepting new patients |
| Texas Emergency Room Services PA | Emergency Medicine | Past | Accepting new patients |
Locations
2000 S Palestine St
Athens, TX 75751
Phone (903) 675-2216
300 Wilson St
Henderson, TX 75652
Phone (903) 655-6536
540 Interstate 45 S
Ste E
Huntsville, TX 77340
Phone (936) 755-8288
100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555
2901 4th St
Longview, TX 75605
Phone (281) 371-1800
1201 W Frank Ave
Lufkin, TX 75904
Phone (936) 634-8111
1201 W Frank Ave
#E
Lufkin, TX 75904
Phone (936) 639-7706
505 S John Redditt Dr
Lufkin, TX 75904
Phone (713) 512-1200
1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611
4500 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 487-2786
5161 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 810-9326
11713 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 793-4600
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.
-
- Emergency Medicine Physician
- Lufkin, TX
- NPI 1518397298
-
dba IES Houston
- Emergency Medicine Physician
- Pasadena, TX
- NPI 1801458708
-
- Emergency Medicine Physician
- Gainesville, TX
- NPI 1538101019
-
- Emergency Medicine Physician
- Nacogdoches, TX
- NPI 1902555485
-
- Emergency Medicine Physician
- Dyersburg, TN
- NPI 1992706097
-
- Emergency Medicine Physician
- Lufkin, TX
- NPI 1992843387
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CHI St. Lukes Health Memorial Lufkin
- Rural Acute Care Hospital
- Lufkin, TX
- NPI 1396746129
-
dba Woodland Heights Medical Center
- General Acute Care Hospital
- Lufkin, TX
- NPI 1487607792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737504000000",
"number": "1477745644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 W FRANK AVE",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759043357",
"telephone_number": "714-454-6056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 E JACKSON AVE",
"address_2": "EMERGENCY DEPARTMENT",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724013119",
"telephone_number": "870-207-5234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSCIUK",
"first_name": "MARTIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-13",
"last_updated": "2025-01-22",
"certification_date": "2025-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "R0048",
"primary": true
},
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "AR",
"license": "E-6938",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.