Individual provider Active NPI

James R Kosko, MD

  • Pediatric Otolaryngology Physician
  • Orlando, FL
National Provider Identifier
1619086477
Registry record updated Feb 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Otolaryngology PhysicianTaxonomy code 207YP0228X
License
ME-0070694 Issued in FL
Practice address
1507 S Hiawassee Rd
Suite 103
Orlando, FL 32835-5718
Phone
(407) 253-1000
Fax
(407) 253-1010
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Otolaryngology Physician 207YP0228X ME-0070694 FL Primary

Addresses

Primary practice location

1507 S Hiawassee Rd
Suite 103
Orlando, FL 32835-5718

Mailing address

1033 Dr Martin Luther King Jr St N
Suite 108
St Petersburg, FL 33701-1547
Phone (727) 456-4250

Other identifiers 1

IdentifierTypeStateIssuer
250147300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20101208000320 FL Practitioner - OtolaryngologyPractitioner - Pediatric Medicine 2567545320 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME-0070694FLMDPediatric Otolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Pediatric Pulmonary and Sleep Associates PA Pediatric Otolaryngology CurrentSince Jul 4, 2025 Accepting new patients

Locations

790 Concourse Pkwy S
Ste 110
Maitland, FL 32751
Phone 4072531000 ext. 212

790 Concourse Pkwy S
Maitland, FL 32751
Phone (321) 841-4601

1507 S Hiawassee Rd
Ste 103
Orlando, FL 32835
Phone (407) 253-1000

1620 Daniels Rd
Ste 140
Winter Garden, FL 34787

2660 W Fairbanks Ave
Winter Park, FL 32789
Phone (407) 253-1000

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266364800000",
    "number": "1619086477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 DR MARTIN LUTHER KING JR ST N",
            "address_2": "SUITE 108",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337011547",
            "telephone_number": "727-456-4250",
            "fax_number": "727-346-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 S HIAWASSEE RD",
            "address_2": "SUITE 103",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328355718",
            "telephone_number": "407-253-1000",
            "fax_number": "407-253-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSKO",
        "first_name": "JAMES",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2010-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YP0228X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": "FL",
            "license": "ME-0070694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250147300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.