Individual provider Active NPI

James Richard Kosiur, D.O.

  • Orthopaedic Surgery Physician
  • Sandusky, MI
National Provider Identifier
1891760286
Registry record updated Mar 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
5101011746 Issued in MI
Practice address
100 W. Argyle Street
Sanilac Medical Plaza
Sandusky, MI 48471
Phone
(810) 648-6113
Fax
(810) 648-0262
NPI assigned
Feb 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 5101011746 MI Primary

Addresses

Primary practice location

100 W. Argyle Street
Sanilac Medical Plaza
Sandusky, MI 48471

Mailing address

120 N Delaware St
Sandusky, MI 48471-1009
Phone (810) 648-6113

Other identifiers 1

IdentifierTypeStateIssuer
341794311MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20110225000601 MI Practitioner - Orthopedic Surgery 6204017023 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McKenzie Memorial HospitalGroup PAC ID 6406755289, 31 clinicians

Practice addresses (Care Compare)

100 Argyle St
Suite 3
Sandusky, MI 48471
Phone (810) 648-6162

Hospital & facility affiliations

  • McKenzie Health System Hospital, Sandusky, MI, CCN 231314

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: james.kosiur@mhs.eclinicaldirectplus.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490313600000",
    "number": "1891760286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N DELAWARE ST",
            "city": "SANDUSKY",
            "state": "MI",
            "postal_code": "484711009",
            "telephone_number": "810-648-6113",
            "fax_number": "810-648-0262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W. ARGYLE STREET",
            "address_2": "SANILAC MEDICAL PLAZA",
            "city": "SANDUSKY",
            "state": "MI",
            "postal_code": "48471",
            "telephone_number": "810-648-6113",
            "fax_number": "810-648-0262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSIUR",
        "first_name": "JAMES",
        "middle_name": "RICHARD",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2017-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "5101011746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "341794311",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, MI

Sources for this page

Verify at the official NPI Registry.