Active NPI
Rodney M Kosanovich, D.P.M.
- Foot & Ankle Surgery Podiatrist
- McKees Rocks, PA
National Provider Identifier
1689636490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- SC002457L
- Practice address
- 5676 Steubenville Pike
MC Kees Rocks, PA 15136-1437 - Phone
- (412) 787-1276
- Fax
- (412) 787-7756
- NPI assigned
- Apr 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | SC002457L | PA | Primary |
Addresses
Primary practice location
5676 Steubenville Pike
MC Kees Rocks, PA 15136-1437
Mailing address
5676 Steubenville Pike
MC Kees Rocks, PA 15136-1437
Phone (412) 787-1276
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0009271200004 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC002457L | PA | MD | Foot & Ankle Surgery Podiatrist |
Interoperability endpoints
- rkosanovich@aafcopl-pa.direct.office.nextgen.com
Organizations & group practices 1
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.
-
- Podiatrist
- McKees Rocks, PA
- NPI 1104009836
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210723200000",
"number": "1689636490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5676 STEUBENVILLE PIKE",
"city": "MC KEES ROCKS",
"state": "PA",
"postal_code": "151361437",
"telephone_number": "412-787-1276",
"fax_number": "412-787-7756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5676 STEUBENVILLE PIKE",
"city": "MC KEES ROCKS",
"state": "PA",
"postal_code": "151361437",
"telephone_number": "412-787-1276",
"fax_number": "412-787-7756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSANOVICH",
"first_name": "RODNEY",
"middle_name": "M",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-05",
"last_updated": "2008-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "PA",
"license": "SC002457L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0009271200004",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McKees Rocks, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.