NPIMap

Individual provider Active NPI

Donald J Kosiak, MD

  • Family Medicine Physician
  • Bismarck, ND
National Provider Identifier
1629162706
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4380 Issued in ND
Practice address
3318 N 14TH St
Bismarck, ND 58503-1614
Phone
(701) 323-8300
Fax
(701) 323-5709
NPI assigned
Oct 3, 2006
Last updated
Sep 11, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4380 ND Primary

Addresses

Primary practice location

3318 N 14TH St
Bismarck, ND 58503-1614

Mailing address

PO Box 5501
Bismarck, ND 58506-5501
Phone (701) 323-6000

Other identifiers 1

IdentifierTypeStateIssuer
17882MedicaidND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060119000412 ND Practitioner - Family Practice 1052207941 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Dakota School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford BismarckGroup PAC ID 9739098575, 562 clinicians
Wishek Hospital-Clinic AssociationGroup PAC ID 8022920958, shared by 5 NPIs, 17 clinicians

Practice addresses (Care Compare)

3318 N 14TH St
Bismarck, ND 58503-1614
Phone (701) 323-8300

420 Main Ave
Napoleon, ND 58561-7109
Phone (701) 754-2322

PO Box
Suite 647
Wishek, ND 58495

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.63 of 100Reported as group
Quality
89.39
Promoting interoperability
100
Improvement activities
40
Cost
76.04

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4380NDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Bismarck Current Accepting new patients
Wishek Hospital-Clinic Association CurrentSince Aug 24, 2025 Accepting new patients
Wishek Hospital-Clinic Association CurrentSince Apr 16, 1985 Accepting new patients
Medcenter One Health Systems DME Current Accepting new patients
Sanford Bismarck CurrentSince Jul 1, 2006 Accepting new patients
Sanford Bismarck Family Medicine CurrentSince Jul 1, 2006 Accepting new patients
Elm Crest Manor Past Accepting new patients
Wishek Home for the Aged Past Accepting new patients
The Evangelical Lutheran Good Samaritan Society Past Accepting new patients
The Evangelical Lutheran Good Samaritan Society Past Accepting new patients
Carrington Health Center Family Medicine Past Accepting new patients
The Evangelical Lutheran Good Samaritan Society Past Accepting new patients
Carrington Health Center Family Medicine Past Accepting new patients
Napoleon Care Center Past Accepting new patients
Wishek Hospital-Clinic Association Past Accepting new patients

Locations

3318 N 14th St
Bismarck, ND 58503
Phone (701) 323-8300

820 5th St N
Carrington, ND 58421
Phone (701) 399-0123

Interoperability endpoints

  • Direct secure messaging: dkosiak@whc.securechart.com

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Peace ChurchNew Salem, ND, CCN 355110 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 18, 2008
Jun 18, 2008
Wishek Living CenterWishek, ND, CCN 355066 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Aug 15, 2019
Aug 15, 2019
Wentz Living CenterNapoleon, ND, CCN 355102 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Aug 15, 2019
Aug 15, 2019

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

Hospital & facility affiliations 7

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189468800000",
    "number": "1629162706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5501",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585065501",
            "telephone_number": "701-323-6000",
            "fax_number": "701-323-5709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3318 N 14TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585031614",
            "telephone_number": "701-323-8300",
            "fax_number": "701-323-5709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSIAK",
        "first_name": "DONALD",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "4380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17882",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

Verify at the official NPI Registry.