Individual provider Active NPI

Dana Jacobs-Kosmin, MD

  • Rheumatology Physician
  • Willow Grove, PA
National Provider Identifier
1679521272
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
MD420332 Issued in PA
Practice address
2360 Maryland Rd
Willow Grove, PA 19090
Phone
(215) 657-6776
Fax
(267) 913-5961
NPI assigned
May 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X MD420332 PA Primary

Addresses

Primary practice location

2360 Maryland Rd
Willow Grove, PA 19090

Mailing address

2360 Maryland Rd
Willow Grove, PA 19090-1709
Phone (215) 657-6776

Other identifiers 1

IdentifierTypeStateIssuer
7598849OtherPAAETNA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dana.jacobskosminmd.p1@direct.arthritispa.nextgenshare.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20060829000295 PA Practitioner - Rheumatology 3476557703 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rheumatic Disease Associates,LTDGroup PAC ID 2961485602, 16 clinicians

Practice addresses (Care Compare)

2360 Maryland Rd
Willow Grove, PA 19090-1709
Phone 2156576776438

Hospital & facility affiliations

  • Doylestown Hospital Hospital, Doylestown, PA, CCN 390203
  • Holy Redeemer Hospital and Medical Center Hospital, Meadowbrook, PA, CCN 390097
  • Jefferson Einstein Philadelphia Hospital Hospital, Philadelphia, PA, CCN 390142
  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111
  • St Mary Medical Center Hospital, Langhorne, PA, CCN 390258

Merit-based Incentive Payment System (MIPS)

Final score
83.46 of 100Reported as group
Quality
77.73
Promoting interoperability
98
Improvement activities
40
Cost
68.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD420332PAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rheumatic Disease Associates,LTD Rheumatology CurrentSince Apr 23, 2014 Accepting new patients
Amh Medical Staff Service Fund Rheumatology CurrentSince Jul 19, 2014 Accepting new patients

Locations

1200 York Rd
Abington, PA 19001
Phone (215) 481-2222

510 Township Line Rd
Ste 220
Blue Bell, PA 19422

599 W State St
Ste 310
Doylestown, PA 18901
Phone (267) 893-6780

801 Old York Rd
Ste 320
Jenkintown, PA 19046
Phone 2156576776438

1717 Langhorne Newtown Rd
Ste 101
Langhorne, PA 19047

2510 Maryland Rd
Ste 200
Willow Grove, PA 19090

2360 Maryland Rd
Willow Grove, PA 19090

Interoperability endpoints

  • Direct secure messaging: dana.jacobskosminmd.p1@direct.arthritispa.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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 6

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1679521272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 MARYLAND RD",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901709",
            "telephone_number": "215-657-6776",
            "fax_number": "267-913-5962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 MARYLAND RD",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "19090",
            "telephone_number": "215-657-6776",
            "fax_number": "267-913-5961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS-KOSMIN",
        "first_name": "DANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "PA",
            "license": "MD420332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7598849",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dana.jacobskosminmd.p1@direct.arthritispa.nextgenshare.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2360 Maryland Rd",
            "city": "Willow Grove",
            "state": "PA",
            "country_code": "US",
            "postal_code": "19090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Willow Grove, PA

Sources for this page

Verify at the official NPI Registry.