Christopher C Cosgrove, MD
Individual provider Active NPI Internal Medicine Physician · Wilmington, NC
NPI 1790717296 · NPPES record last updated Mar 24, 2009
Key facts
- NPI
- 1790717296
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 9300442 (NC)
- Practice address
- 4114 Shipyard Blvd
Wilmington, NC 28403-6155 - Phone
- (910) 332-0701
- Fax
- (910) 332-0710
- NPI assigned
- Jul 7, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 25
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of North Carolina at Chapel Hill School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Intracoastal Internal Medicine
Practice addresses (Care Compare)
2580 Pickard Rd
Wilmington, NC 28403-4461
Phone (910) 332-0701
Hospital & facility affiliations
- Well Care Home Health
- Liberty Home Care, LLC
- Nhrmc Home Care
- Lower Cape Fear Lifecare
- Novant Health New Hanover Regional Medical Center
- J Arthur Dosher Memorial Hospital
- Pender Memorial Hospital
- Kent County Memorial Hospital
- Trinity Grove
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060929000480 | NC | Practitioner - Internal Medicine | 7113989427 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intracoastal Internal Medicine | Internal Medicine | Current |
Accepting new patients |
| Coastal Hospitalists | Internal Medicine | Past |
Accepting new patients |
Locations
2580 Pickard Rd
Wilmington, NC 28403
Phone (910) 332-0701
Interoperability endpoints
- christopher.cosgrove@iim1.eclinicaldirectplus.com
- https://fhir4.healow.com/fhir/r4/IIJBAA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 9300442 | NC | Yes |
Addresses
Primary practice location
4114 Shipyard Blvd
Wilmington, NC 28403-6155
Mailing address
4114 Shipyard Blvd
Wilmington, NC 28403-6155
Phone (910) 332-0701
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891069V | Medicaid | NC |
Other providers in Wilmington, NC
- Susan Elaine Corriher
- Alyssa C Cortese
- Robert Michael Cortina
- Cathy Cosentino
- Billie Forehand Cosgrove
- Stephanie Costanzo
- Costco Wholesale Corporation
- Costco Wholesale Corporation
- Costco Wholesale Corporation
- Kelly L Coston
All providers in Wilmington, NC · Internal Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.