Individual provider Active NPI

Jason Scott Kosek, D. C.

  • Chiropractor
  • New Lenox, IL
National Provider Identifier
1528463510
Registry record updated Nov 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.012713 Issued in IL
Practice address
195 S Marley Rd
New Lenox, IL 60451-3302
Phone
(815) 485-8200
Fax
(815) 485-8996
NPI assigned
Nov 3, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.012713 IL Primary
Chiropractor 111N00000X 08002808A IN

Addresses

Primary practice location

195 S Marley Rd
New Lenox, IL 60451-3302

Mailing address

195 S Marley Rd
New Lenox, IL 60451-3302
Phone (815) 485-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141119001466 IL Practitioner - Chiropractic 9638391089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Kosek Kiro LLCGroup PAC ID 6204298730, 2 clinicians

Practice addresses (Care Compare)

195 S Marley Rd
New Lenox, IL 60451-3302
Phone (815) 485-8200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.012713ILMDChiropractor
08002808AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kosek Kiro LLC Chiropractor CurrentSince Jul 4, 2023 Accepting new patients

Locations

195 S Marley Rd
New Lenox, IL 60451
Phone (815) 485-8200

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1414972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414972800000",
    "number": "1528463510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 S MARLEY RD",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604513302",
            "telephone_number": "815-485-8200",
            "fax_number": "815-485-8996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 S MARLEY RD",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604513302",
            "telephone_number": "815-485-8200",
            "fax_number": "815-485-8996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSEK",
        "first_name": "JASON",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D. C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-03",
        "last_updated": "2014-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.012713",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002808A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lenox, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.