Individual provider Active NPI

Mark Koshar, M.D.

  • Internal Medicine Physician
  • Easton, PA
National Provider Identifier
1538161963
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD016576E Issued in PA
Practice address
3735 Nazareth Rd
Suite 301
Easton, PA 18045-8338
Phone
(610) 829-2200
Fax
(610) 829-2211
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD016576E PA Primary

Addresses

Primary practice location

3735 Nazareth Rd
Suite 301
Easton, PA 18045-8338

Mailing address

PO Box 783311
Philadelphia, PA 19178-3311
Phone (484) 884-4500

Other identifiers 2

IdentifierTypeStateIssuer
0006859310004MedicaidPA
45295OtherPABLUE SHIELD

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20070404000179 PA Practitioner - Internal Medicine 4880798669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rutgers New Jersey Medical School, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1210 S Cedar Crest Blvd
Allentown, PA 18103-6235
Phone (610) 402-3888

2100 Mack Blvd
FL 4
Allentown, PA 18103-5622

3735 Nazareth Rd
301 George M Joseph MD and Associates
Easton, PA 18045-8347
Phone (610) 829-2200

5649 Wynnewood Dr
Laurys Station, PA 18059-1124

Hospital & facility affiliations

  • Lehigh Valley Home Care Home health agency, Allentown, PA, CCN 397023
  • 1St Care Home Health Services of Pennsylvania Home health agency, Allentown, PA, CCN 398211
  • Bayada Home Health Care, Inc. Home health agency, Allentown, PA, CCN 397533
  • Ahc Home Health and Hospice of Lehigh Valley Home health agency, Bethlehem, PA, CCN 398364
  • Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133
  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
  • St Luke'S Warren Hospital Hospital, Phillipsburg, NJ, CCN 310060
  • St Luke'S Hospital - Easton Campus Hospital, Easton, PA, CCN 390162

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Mar 1, 2015 Accepting new patients
Lehigh Valley Physician Group Internal Medicine Current Accepting new patients
Family Care Centers Inc. Internal Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Two Rivers Hospital Corporation Past Accepting new patients

Locations

2100 Mack Blvd
#2
Allentown, PA 18103
Phone (484) 884-0632

1101 Northampton St
Ste 201
Easton, PA 18042
Phone (610) 559-8151

3735 Nazareth Rd
Ste 301
Easton, PA 18045
Phone (610) 258-2826

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

Interoperability endpoints

  • Direct secure messaging: mkoshar8605@direct2.lvhn.org

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 and National Provider Directory roles.

Hospital & facility affiliations 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456876800000",
    "number": "1538161963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 783311",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191783311",
            "telephone_number": "484-884-4500",
            "fax_number": "484-884-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3735 NAZARETH RD",
            "address_2": "SUITE 301",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180458338",
            "telephone_number": "610-829-2200",
            "fax_number": "610-829-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSHAR",
        "first_name": "MARK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2016-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD016576E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006859310004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "45295",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

Verify at the official NPI Registry.