Lawrence M Kosova, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

016004029 Issued in IL

Practice address

640 S Washington St Ste 240
Naperville, IL 60540-6792

Phone

(630) 355-3668

Fax

(630) 355-3016

NPI assigned

Dec 27, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1986

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23068/brand/1/csg/1/fhir/r4

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.

• Advanced Ankle & Foot Care Center LTD

  • Ambulatory Surgical Clinic/Center
  • Naperville, IL
  • NPI 1114991387

  Podiatrist

  NPD Authorized official
• Family Podiatry Center LLC

  • Foot & Ankle Surgery Podiatrist
  • Naperville, IL
  • NPI 1689652570
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221091200000",
    "number": "1649257221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 S WASHINGTON ST STE 240",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406792",
            "telephone_number": "630-355-3668",
            "fax_number": "630-355-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 S WASHINGTON ST STE 240",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406792",
            "telephone_number": "630-355-3668",
            "fax_number": "630-355-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSOVA",
        "first_name": "LAWRENCE",
        "middle_name": "M",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2008-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016004029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "480032630",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "2230194",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016004029",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• April Kopsel, CFY-SLP
• McKenzie Lynn Korhorn
• Courtney Eve Kornsey, FNP-C
• Anna Korolczuk
• Igor Kosciuch, BSPT
• Theresa Kosovrasti, APN-CNP
• Jennifer Kotecki, PH.D., LPC, ATR-BC
• Alison D. Kotek, ATC, NASM-PES
• Shruti Antarix Kothadia
• Nicole Kothe, LPC

• Podiatrist in Naperville, IL
• Providers in Naperville, IL by specialty
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; 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.

Verify at the official NPI Registry.