Carolyn Morrell Kosack, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

031444 Issued in CT

Practice address

711 Cottage Grove Rd
Cottage Grove Cardiology
Bloomfield, CT 06002-3060

Phone

(860) 242-8756

Fax

(860) 769-5009

NPI assigned

Mar 10, 2006

Sex

Female

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 CT

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Trinity Health of New England Provider Network Organization Inc

  dba Trinity Health Of New England Medical Group

  • Internal Medicine Physician
  • Hartford, CT
  • NPI 1003882812

  Cardiovascular Disease

  Medicare reassignment NPD
• Trinity Health of New England Provider Network Organization Inc

  dba Trinity Health Of New England Medical Group

  • Internal Medicine Physician
  • Waterville, ME
  • NPI 1134779531
  NPD

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1659349942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 COTTAGE GROVE RD",
            "address_2": "COTTAGE GROVE CARDIOLOGY",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023060",
            "telephone_number": "860-242-8756",
            "fax_number": "860-769-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 COTTAGE GROVE RD",
            "address_2": "COTTAGE GROVE CARDIOLOGY",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023060",
            "telephone_number": "860-242-8756",
            "fax_number": "860-769-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSACK",
        "first_name": "CAROLYN",
        "middle_name": "MORRELL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-10",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "031444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060032218",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001314442",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "060001102",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Kate Kloo, LCSW
• Oksana Kloyzner, MD
• KNC Associates, LLC
• Vishal Kochar, M.D.
• Tara Marie Konieczny
• Adam Thomas Krakowiak
• Michael M Krinsky, MD
• Kris Albrecht LLC
• Kristin Godiksen Physical Therapy and Wellness
• Michael P Kruger, MD

• Cardiovascular Disease Physician in Bloomfield, CT
• Providers in Bloomfield, CT by specialty
• Cardiovascular Disease Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.