Individual provider Active NPI

Neil D Kobrosky, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Gloucester, MA
National Provider Identifier
1558308205
Registry record updated Nov 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
54501 Issued in MA
Practice address
298 Washington St
Addison Gilbert Hospital
Gloucester, MA 01930
Phone
(978) 283-4000
Fax
(978) 282-0663
NPI assigned
Jun 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 54501 MA Primary

Addresses

Primary practice location

298 Washington St
Addison Gilbert Hospital
Gloucester, MA 01930

Mailing address

85 Eastern Ave
Gloucester, MA 01930
Phone (978) 281-6890

Other identifiers 7

IdentifierTypeStateIssuer
51998OtherAETNA
61683OtherMAPILGRIM
31979OtherFALLON
3050122MedicaidMA
5015917OtherCHAMPUS
713905OtherMATUFTS
110029028OtherPALMETTO

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051029000021 MA Practitioner - Endocrinology 7012934946 Practice locations: Gloucester, MA; Newburyport, MA; Beverly, MA

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
University of Massachusetts Medical School, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

298 Washington St
Addison Gilbert Ambu
Gloucester, MA 01930-4832
Phone (978) 283-4000

85 Eastern Ave
Gloucester, MA 01930-6512

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.43 of 100Reported as group
Quality
96.24
Improvement activities
40
Cost
78.2

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54501MAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neil Kobrosky MD Endocrinology, Diabetes & Metabolism Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nkobrosky22942@direct.bilh.masshiway.net

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.

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258416000000",
    "number": "1558308205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 EASTERN AVE",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "01930",
            "telephone_number": "978-281-6890",
            "fax_number": "978-281-0932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 WASHINGTON ST",
            "address_2": "ADDISON GILBERT HOSPITAL",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "01930",
            "telephone_number": "978-283-4000",
            "fax_number": "978-282-0663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBROSKY",
        "first_name": "NEIL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2009-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MA",
            "license": "54501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "51998",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PILGRIM",
            "identifier": "61683",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON",
            "identifier": "31979",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3050122",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "5015917",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "713905",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO",
            "identifier": "110029028",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gloucester, MA

Sources for this page

Verify at the official NPI Registry.