Active NPI
Adrian Cosmin, MD
- Nephrology Physician
- Louisville, KY
National Provider Identifier
1770543217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 48058
- Practice address
- 716 W Broadway
Louisville, KY 40202-2216 - Phone
- (502) 595-7744
- Fax
- (502) 595-7007
- NPI assigned
- Mar 27, 2006
- Last updated
- Sep 11, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D0062807 | MD | |
| Nephrology Physician | 207RN0300X | 48058 | KY | Primary |
Addresses
Primary practice location
716 W Broadway
Louisville, KY 40202-2216
Mailing address
716 W Broadway
Louisville, KY 40202-2216
Phone (502) 595-7744
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100356810 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0062807 | MD | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidney Care Consultants, PSC | Nephrology | Current | Accepting new patients |
| The Good Samaritan Hospital of Maryland, Inc. | Past | Accepting new patients | |
| Medstar Good Samaritan Physicians LLC | Past | Accepting new patients |
Locations
207 Sparks Ave
Ste 404
Jeffersonvlle, IN 47130
Phone (812) 218-3212
716 W Broadway
Louisville, KY 40202
Phone (502) 222-3449
Organizations & group practices 3
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.
-
dba MedStar GSHP LLC
- General Practice Physician
- Baltimore, MD
- NPI 1679996078
-
dba GSH @ FutureCare Northpoint
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Baltimore, MD
- NPI 1114351863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441929600000",
"number": "1770543217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "716 W BROADWAY",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402022216",
"telephone_number": "502-595-7744",
"fax_number": "502-595-7007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "716 W BROADWAY",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402022216",
"telephone_number": "502-595-7744",
"fax_number": "502-595-7007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSMIN",
"first_name": "ADRIAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-27",
"last_updated": "2015-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0062807",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "KY",
"license": "48058",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100356810",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.