Active NPI
Leah Belle Kosyakovsky, MD
- Cardiovascular Disease Physician
- Boston, MA
National Provider Identifier
1548857055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- PENDING
- Practice address
- 185 Pilgrim Rd # Baker4
Boston, MA 02215-5324 - Phone
- (617) 667-8800
- NPI assigned
- Dec 30, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | PENDING | MA | Primary |
Addresses
Primary practice location
185 Pilgrim Rd # Baker4
Boston, MA 02215-5324
Mailing address
185 Pilgrim Rd # Baker4
Boston, MA 02215-5324
Phone (617) 632-7828
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210715003285 | MA | Order and Referring Only - Cardiovascular Disease (Cardiology) | 3971905738 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PENDING | MA | MD | Student in an Organized Health Care Education/Training Program |
Interoperability endpoints
- lkosyakovsky255011@direct.bilh.masshiway.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613260800000",
"number": "1548857055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 PILGRIM RD # BAKER4",
"city": "BOSTON",
"state": "MA",
"postal_code": "022155324",
"telephone_number": "617-632-7828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 PILGRIM RD # BAKER4",
"city": "BOSTON",
"state": "MA",
"postal_code": "022155324",
"telephone_number": "617-667-8800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSYAKOVSKY",
"first_name": "LEAH",
"middle_name": "BELLE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-30",
"last_updated": "2021-02-14",
"certification_date": "2021-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MA",
"license": "PENDING",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.