NPIMap

Individual provider Active NPI

Jason Kosove, M.D.

  • Diagnostic Radiology Physician
  • Fort Lauderdale, FL
National Provider Identifier
1518022508
Registry record updated Apr 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME102978 Issued in FL
Practice address
4725 N. Federal Highway
Fort Lauderdale, FL 19107-6130
Phone
(954) 267-6650
Fax
(954) 351-7874
NPI assigned
Dec 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME102978 FL Primary
Diagnostic Radiology Physician 2085R0202X MT182615 PA

Addresses

Primary practice location

4725 N. Federal Highway
Fort Lauderdale, FL 19107-6130

Mailing address

PO Box 11398
Fort Lauderdale, FL 33339-1398
Phone (877) 448-8675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20090413000177 FL Practitioner - Diagnostic Radiology 9830246768 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intellirad Imaging LLCGroup PAC ID 9739333790, 60 clinicians

Practice addresses (Care Compare)

8383 N Davis Hwy
Pensacola, FL 32514-6039
Phone (850) 494-3212

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
97.25
Improvement activities
40
Cost
82.25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME102978FLMDDiagnostic Radiology Physician
MT182615PAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami Current Accepting new patients
Intellirad Imaging, LLC Diagnostic Radiology CurrentSince Jan 1, 2013 Accepting new patients
University of Miami CurrentSince Feb 3, 2021 Accepting new patients
University of Miami Diagnostic Radiology CurrentSince Feb 3, 2021 Accepting new patients
South Florida Medical Imaging, PA Diagnostic Radiology PastSince Aug 8, 2021 Accepting new patients

Locations

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131

1475 NW 12th Ave
Miami, FL 33136
Phone (305) 243-4200

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

11760 SW 40th St
Ste 703
Miami, FL 33175

4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005

8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212

8201 W Broward Blvd
Plantation, FL 33324
Phone (954) 476-3900

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": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303689600000",
    "number": "1518022508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11398",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333391398",
            "telephone_number": "877-448-8675",
            "fax_number": "772-621-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4725 N. FEDERAL HIGHWAY",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "191076130",
            "telephone_number": "954-267-6650",
            "fax_number": "954-351-7874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSOVE",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2011-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME102978",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MT182615",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.