Linda Lu Reese Kosal, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

5101016203 Issued in MI

Practice address

15520 19 Mile Rd
Suite 480
Clinton Township, MI 48038-6333

Phone

(586) 228-1010

Fax

(586) 228-1010

NPI assigned

May 5, 2007

Last updated

Feb 27, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Linda Lu Reese Bryan Former name

Medicare fee-for-service enrollment

Enrolled in MI

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

Internal Medicine

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Macomb Internal Medicine PCGroup PAC ID 2961468723, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Custom Home Health Home health agency, Troy, MI, CCN 237707
• McLaren Macomb Hospital, Mount Clemens, MI, CCN 230227
• Henry Ford Macomb Hospital Hospital, Clinton Township, MI, CCN 230047

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lindalu.kosal.1@31117.direct.athenahealth.com

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.

• Macomb Internal Medicine PC

  • Internal Medicine Physician
  • Clinton TWP, MI
  • NPI 1639266885
  Medicare reassignment Care Compare group NPD
• McLaren Macomb

  • Internal Medicine Physician
  • Mount Clemens, MI
  • NPI 1396014601
  Medicare reassignment NPD
• McLaren Macomb

  • General Acute Care Hospital
  • Mount Clemens, MI
  • NPI 1316938327
  NPD (past)

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

• Custom Home Health, Inc.

  • Home Health Agency
  • Troy, MI
  • NPI 1346251600
  Care Compare affiliation
• Henry Ford Macomb Hospital Corporation

  dba Henry Ford Health Macomb Hospital

  • General Acute Care Hospital
  • Clinton TWP, MI
  • NPI 1023114634
  Care Compare affiliation
• Henry Ford Macomb Hospital Corporation

  • General Acute Care Hospital
  • Warren, MI
  • NPI 1902842735
  Care Compare affiliation
• McLaren Macomb

  • Psychiatric Hospital Unit
  • Shelby Township, MI
  • NPI 1184206385
  Care Compare affiliation
• McLaren Macomb

  • General Acute Care Hospital
  • Mount Clemens, MI
  • NPI 1316938327
  Care Compare affiliation

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

{
    "created_epoch": "1178323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393459200000",
    "number": "1477765832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15520 19 MILE ROAD",
            "address_2": "SUITE 480",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480386332",
            "telephone_number": "586-228-1010",
            "fax_number": "586-228-8570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15520 19 MILE RD",
            "address_2": "SUITE 480",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480386333",
            "telephone_number": "586-228-1010",
            "fax_number": "586-228-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSAL",
        "first_name": "LINDA LU",
        "middle_name": "REESE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-05",
        "last_updated": "2014-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101016203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA LU",
            "last_name": "BRYAN",
            "middle_name": "REESE",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Noora Yousif Koraeel
• Amanda Koro
• Chelsea Lauren Kortz
• Stephanie Kortz
• Jennifer Kristen Korzeniowski, MA, LPC, NCC
• Madelyn Koshay
• Angela Marie Kosmas, MA, LPC
• Klara Hatam Kosto, MS, LBA
• Milea Rose Kostrzewa
• Joshua Kostusyk, LLBSW

• Internal Medicine Physician in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; 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.