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Individual provider Active NPI

Robert L Koscick

  • Anatomic Pathology & Clinical Pathology Physician
  • Baton Rouge, LA
National Provider Identifier
1508826348
Registry record updated Aug 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
MD.12963R Issued in LA
Practice address
5339 Odonavan
Baton Rouge, LA 70808-4388
Phone
(225) 766-4999
Fax
(225) 767-4702
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD.12963R LA Primary

Addresses

Primary practice location

5339 Odonavan
Baton Rouge, LA 70808-4388

Mailing address

5339 Odonavan
Baton Rouge, LA 70808-4388
Phone (225) 766-4999

Other identifiers 1

IdentifierTypeStateIssuer
1552771MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100603000966 LA Practitioner - Pathology 6305876632 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Cincinnati College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5339 Odonovan Dr
Baton Rouge, LA 70808-4388
Phone (225) 766-4999

Hospital & facility affiliations

  • Womans Hospital Hospital, Baton Rouge, LA, CCN 190128
  • Our Lady of the Lake Regional Medical Center Hospital, Baton Rouge, LA, CCN 190064
  • Baton Rouge General Medical Center Hospital, Baton Rouge, LA, CCN 190065
  • Our Lady of the Angels Hospital Hospital, Bogalusa, LA, CCN 190312
  • Lane Regional Medical Center Hospital, Zachary, LA, CCN 190020

Merit-based Incentive Payment System (MIPS)

Final score
84.01 of 100Reported as group
Quality
81.19
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pathology Group of Louisiana, a Professional Medical Corporation Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 1999 Accepting new patients
Pathology Group of Louisiana, a Professional Medical Corporation Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 1999 Accepting new patients
Woman'S Specialty Clinic CurrentSince May 1, 2014 Accepting new patients
Pathology Associates of Southern Louisiana Past Accepting new patients

Locations

5339 Odonovan Dr
Baton Rouge, LA 70808
Phone (225) 766-4999

500 Rue de la Vie St
Ste 311
Baton Rouge, LA 70817
Phone (225) 216-3006

500 Rue de la Vie St
Ste 513
Baton Rouge, LA 70817
Phone (225) 767-1311

5412 Dijon Dr
Baton Rouge, LA 70808
Phone (225) 615-8693

Organizations & group practices 4

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439424000000",
    "number": "1508826348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5339 ODONAVAN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084388",
            "telephone_number": "225-766-4999",
            "fax_number": "225-767-4702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5339 ODONAVAN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084388",
            "telephone_number": "225-766-4999",
            "fax_number": "225-767-4702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSCICK",
        "first_name": "ROBERT",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2015-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "LA",
            "license": "MD.12963R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1552771",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.