NPIMap

Individual provider Active NPI

Amanda Jean Kost, D.O.

  • Endocrinology, Diabetes & Metabolism Physician
  • Middletown, CT
National Provider Identifier
1659647188
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
56533 Issued in CT
Practice address
540 Saybrook Rd
Middletown, CT 06457-4711
Phone
(860) 358-6875
NPI assigned
Mar 29, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 56533 CT
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 56533 CT Primary

Addresses

Primary practice location

540 Saybrook Rd
Middletown, CT 06457-4711

Mailing address

80 S Main St
Middletown, CT 06457-3648
Phone (860) 358-6875

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20170810001746 CT Practitioner - EndocrinologyPractitioner - Internal Medicine 1557682507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
University of New England, College of Osteo Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Middlesex HospitalGroup PAC ID 5092611731, 231 clinicians

Practice addresses (Care Compare)

80 S Main St
Suite 102
Middletown, CT 06457-3648
Phone (860) 358-6878

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Middlesex Hospital Current Accepting new patients
Middlesex Hospital Internal Medicine CurrentSince Sep 1, 2017 Accepting new patients
Connecticut Pathology Group PC Current Accepting new patients
Middlesex Hospital Current Accepting new patients
Middlesex Hospital Current Accepting new patients
Middlesex Hospital CurrentSince Sep 1, 2017 Accepting new patients

Locations

263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477

80 S Main St
Ste 304
Middletown, CT 06457
Phone (860) 358-4615

540 Saybrook Rd
Middletown, CT 06457
Phone (860) 347-7491

80 S Main St
Ste 102
Middletown, CT 06457
Phone (860) 358-6878

80 S Main St
Middletown, CT 06457
Phone (860) 347-6939

540 Saybrook Rd
Ste 210
Middletown, CT 06457
Phone (860) 344-1801

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

Interoperability endpoints

  • Direct secure messaging: akost14618@middlesexhealthprd.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1659647188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 S MAIN ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573648",
            "telephone_number": "860-358-6875",
            "fax_number": "860-358-8693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 SAYBROOK RD",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574711",
            "telephone_number": "860-358-6875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOST",
        "first_name": "AMANDA",
        "middle_name": "JEAN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-29",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "56533",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CT",
            "license": "56533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

Verify at the official NPI Registry.