Individual provider Active NPI

N. Mathew Koshy, M.D.

  • Cardiovascular Disease Physician
  • Sarasota, FL
National Provider Identifier
1841282076
Registry record updated Aug 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME33862 Issued in FL
Practice address
5741 Bee Ridge Rd
Suite 490
Sarasota, FL 34233-5064
Phone
(941) 377-8266
Fax
(941) 378-9545
NPI assigned
Aug 15, 2005
Last updated
Aug 6, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME33862 FL Primary

Addresses

Primary practice location

5741 Bee Ridge Rd
Suite 490
Sarasota, FL 34233-5064

Mailing address

5741 Bee Ridge Rd
Suite 490
Sarasota, FL 34233-5064
Phone (941) 377-8266

Other identifiers 4

IdentifierTypeStateIssuer
030402435OtherFLTAX ID
060068717OtherFLMEDICARE RR
066839700MedicaidFL
79547OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100201000778 FL Practitioner - Cardiovascular Disease (Cardiology) 6406753615 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Panel of Electrocardiology of Sarasota Memorial HospitalGroup PAC ID 3476453077, 18 clinicians
Florida Medical Specialists LLCGroup PAC ID 5799786687, 125 clinicians
Panel of Electrocardiology of Doctors HospitalGroup PAC ID 2466430889, 9 clinicians
Cardiovascular Specialists of Sarasota PAGroup PAC ID 2567763006, 3 clinicians

Practice addresses (Care Compare)

1700 S Tamiami TRL
Sarasota, FL 34239-3509
Phone (888) 221-2216

3830 Bee Ridge Rd
Sarasota, FL 34233-1105

5731 Bee Ridge Rd
Sarasota, FL 34233-5056
Phone (888) 221-2216

5741 Bee Ridge Rd
Suite 470
Sarasota, FL 34233-5084
Phone (941) 377-8266

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33862FLMDPharmacist
ME33862FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Panel of Electrocardiology of Sarasota Memorial Hospital Cardiovascular Disease CurrentSince Jan 26, 1979 Accepting new patients
HPP Physicians LLC CurrentSince Jul 16, 2023 Accepting new patients
Panel of Electrocardiology of Doctors Hospital Cardiovascular Disease CurrentSince Jan 26, 1979 Accepting new patients
Florida Medical Specialists LLC Current Accepting new patients
Cardiovascular Specialists of Sarasota, PA CurrentSince May 1, 2023 Accepting new patients
Florida Medical Specialists LLC CurrentSince Dec 5, 2015 Accepting new patients
Florida Medical Specialists LLC CurrentSince Dec 5, 2015 Accepting new patients
Heart & Vascular Center of Sarasota Inc Past Accepting new patients
Florida Medical Specialists LLC Past Accepting new patients
Rehab Axis,Inc. PastSince May 1, 2023 Accepting new patients
Best Value Healthcare LLC Past Accepting new patients

Locations

1250 S Tamiami Trl
Ste 300
Sarasota, FL 34239
Phone (941) 955-0229

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

3830 Bee Ridge Rd
Ste 100
Sarasota, FL 34233
Phone (941) 921-0383

3830 Bee Ridge Rd
Ste 301
Sarasota, FL 34233
Phone (941) 923-1872

3844 Bee Ridge Rd
Fl 2
Sarasota, FL 34233
Phone (941) 202-5342

5731 Bee Ridge Rd
Sarasota, FL 34233
Phone (888) 221-2216

5741 Bee Ridge Rd
Sarasota, FL 34233
Phone (941) 342-1303

5741 Bee Ridge Rd
Ste 470
Sarasota, FL 34233
Phone (941) 359-2977

5741 Bee Ridge Rd
Ste 490
Sarasota, FL 34233
Phone (941) 377-8266

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73573

Organizations & group practices 11

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 5

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

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281052800000",
    "number": "1841282076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5741 BEE RIDGE RD",
            "address_2": "SUITE 490",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342335064",
            "telephone_number": "941-377-8266",
            "fax_number": "941-378-9545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5741 BEE RIDGE RD",
            "address_2": "SUITE 490",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342335064",
            "telephone_number": "941-377-8266",
            "fax_number": "941-378-9545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSHY",
        "first_name": "N.",
        "middle_name": "MATHEW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2010-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME33862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "030402435",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "060068717",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "066839700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "79547",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.