Active NPI
Miriam Kosmoski, PA-C
- Physician Assistant
- Utica, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 036063
- Practice address
- 601 State St Ste 200
Utica, NY 13502-4258 - Phone
- (315) 733-7598
- NPI assigned
- Oct 14, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C0005873 | MD | |
| Physician Assistant | 363A00000X | MA057215 | PA | |
| Physician Assistant | 363A00000X | 036063 | NY | Primary |
Addresses
Primary practice location
601 State St Ste 200
Utica, NY 13502-4258
Mailing address
328 Putnam St
Waterville, NY 13480-1213
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6701 N Charles St
Towson, MD 21204-6808
Phone (443) 849-2000
900 Caton Ave
Baltimore, MD 21229-5201
Phone (410) 368-6000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0005873 | MD | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central New York Cardiology, PC | Current | Accepting new patients | |
| Cep America LLC | Current | Accepting new patients | |
| Cep America LLC | Current | Accepting new patients | |
| Medstar Urgent Care LLC | Current | Accepting new patients | |
| Medstar Urgent Care LLC | Current | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120
6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890
6701 N Charles St
Towson, MD 21204
Phone (443) 849-2000
3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960
11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505
111 Hospital Dr
Utica, NY 13502
Phone (315) 801-8534
601 State St
Ste 200
Utica, NY 13502
Phone (315) 733-7598
Organizations & group practices 8
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.
-
dba MedStar PromptCare
- Urgent Care Clinic/Center
- Baltimore, MD
- NPI 1902175870
-
dba MedStar PromptCare-Wheaton
- Urgent Care Clinic/Center
- Wheaton, MD
- NPI 1871843409
DC
-
- Cardiovascular Disease Physician
- Utica, NY
- NPI 1750339412
-
- Emergency Medicine Physician
- Towson, MD
- NPI 1093591570
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
-
- General Practice Physician
- Lexington Park, MD
- NPI 1275410474
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1255372397
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784678400000",
"number": "1558765982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "328 PUTNAM ST",
"city": "WATERVILLE",
"state": "NY",
"postal_code": "134801213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 STATE ST STE 200",
"city": "UTICA",
"state": "NY",
"postal_code": "135024258",
"telephone_number": "315-733-7598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSMOSKI",
"first_name": "MIRIAM",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-14",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0005873",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA057215",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "036063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Utica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.
- 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.