Individual provider Active NPI

Meredith Klein Kosann, MD

  • Dermatology Physician
  • Rye, NY
National Provider Identifier
1689604597
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
217761 Issued in NY
Practice address
150 Purchase St
Suite 12F
Rye, NY 10580-2141
Phone
(914) 908-3376
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 217761 NY Primary

Addresses

Primary practice location

150 Purchase St
Suite 12F
Rye, NY 10580-2141

Mailing address

150 Purchase St
Suite 12F
Rye, NY 10580-2141
Phone (914) 908-3376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20090421000300 NY Practitioner - Dermatology 4789731274 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
New York University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skinfocused Dermatology LLCGroup PAC ID 8426273590, 3 clinicians

Practice addresses (Care Compare)

150 Purchase St
Suite 12F
Rye, NY 10580-2143
Phone (914) 908-3376

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
217761NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skinfocused Dermatology LLC Dermatology CurrentSince Jul 2, 2014 Accepting new patients
Greenwich Sports Medicine PC PastSince Nov 19, 2016 Accepting new patients

Locations

150 Purchase St
Ste 12F
Rye, NY 10580
Phone (914) 374-1385

Interoperability endpoints

  • Direct secure messaging: mkosann@skinfocused.emadirect.md

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.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421798400000",
    "number": "1689604597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 PURCHASE ST",
            "address_2": "SUITE 12F",
            "city": "RYE",
            "state": "NY",
            "postal_code": "105802141",
            "telephone_number": "914-908-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PURCHASE ST",
            "address_2": "SUITE 12F",
            "city": "RYE",
            "state": "NY",
            "postal_code": "105802141",
            "telephone_number": "914-908-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSANN",
        "first_name": "MEREDITH",
        "middle_name": "KLEIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2015-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "217761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rye, NY

Sources for this page

Verify at the official NPI Registry.