NPIMap

Individual provider Active NPI

George Matthen Koshy, M.D.

  • Diagnostic Radiology Physician
  • Edina, MN
National Provider Identifier
1710917588
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME96137 Issued in FL
Practice address
3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone
(952) 595-1100
NPI assigned
Jul 4, 2006
Last updated
Jan 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME96137 FL Primary

Addresses

Primary practice location

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915

Mailing address

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone (952) 595-1100

Other practice location 1

2000 W Commercial Blvd
Suite 115
Fort Lauderdale, FL 33309-3073
Phone (954) 839-8080

Other identifiers 1

IdentifierTypeStateIssuer
MEDICAL LICENSEOtherFLME96137

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20061012000035 FL Practitioner - Diagnostic Radiology 7618942293 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Ohio State University College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beloit Radiology LTDGroup PAC ID 3274559711, 54 clinicians
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians
North Broward Radiologists, P.a.Group PAC ID 9537141338, 25 clinicians

Practice addresses (Care Compare)

Boca Raton, FL 33433
Phone (614) 340-7740

1600 S Andrews Ave
Fort Lauderdale, FL 33316-2510
Phone (954) 262-1140

201 E Sample Rd
Pompano Beach, FL 33064-3502
Phone (954) 946-2113

2300 N Commerce Pkwy
Suite 302
Weston, FL 33326-3255
Phone (954) 217-3300

3000 Coral Hills Dr
Coral Springs, FL 33065-4108
Phone (954) 946-2113

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
96.88
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Broward Hospital District CurrentSince Mar 24, 2014 Accepting new patients
North Broward Radiologists, P.a. Diagnostic Radiology CurrentSince Aug 24, 2006 Accepting new patients
North Broward Hospital District CurrentSince May 24, 2016 Accepting new patients
North Broward Hospital District CurrentSince Jun 1, 2011 Accepting new patients
Stand Up MRI of Boca Raton Inc Diagnostic Radiology PastSince Jun 1, 2008 Accepting new patients

Locations

201 E Sample Rd
Deerfield Beach, FL 33064
Phone (954) 786-6400

1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000

2000 W Commercial Blvd
Ste 115
Ft Lauderdale, FL 33309
Phone (954) 839-8080

Organizations & group practices 9

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

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": "1769385600000",
    "number": "1710917588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 MINNESOTA DR STE 800",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554357915",
            "telephone_number": "952-595-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 MINNESOTA DR STE 800",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554357915",
            "telephone_number": "952-595-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 W Commercial Blvd",
            "address_2": "Suite 115",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333093073",
            "country_code": "US",
            "telephone_number": "954-839-8080",
            "fax_number": "954-839-8081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOSHY",
        "first_name": "GEORGE",
        "middle_name": "MATTHEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME96137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ME96137",
            "identifier": "MEDICAL LICENSE",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.