Individual provider Active NPI

Laura M Kosseim, MD

  • Hospitalist Physician
  • Philadelphia, PA
National Provider Identifier
1912933607
Registry record updated Dec 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
MD060366L Issued in PA
Practice address
3801 Filbert St
Mab, Suite 102
Philadelphia, PA 19104-2640
Phone
(215) 662-9990
Fax
(215) 243-3297
NPI assigned
Jun 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD060366L PA
Hospitalist Physician 208M00000X MD060366L PA Primary

Addresses

Primary practice location

3801 Filbert St
Mab, Suite 102
Philadelphia, PA 19104-2640

Mailing address

3801 Filbert St
Mab, Suite 102
Philadelphia, PA 19104-2640
Phone (215) 662-9990

Other practice location 1

51 N 39th St
MAB, Suite 102
Philadelphia, PA 19104-2640
Phone (215) 662-9990

Other identifiers 1

IdentifierTypeStateIssuer
0016413140002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20100310000379 PA Practitioner - HospitalistPractitioner - Internal Medicine 9537204912 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Columbia University College of Physicians and Surgeons, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trustees of the University of PennsylvaniaGroup PAC ID 2062326507, 150 clinicians
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians

Practice addresses (Care Compare)

3600 Civic Ctr Blvd
3E
Philadelphia, PA 19104-4310

3701 Market St
Philadelphia, PA 19104-5502
Phone (215) 662-2250

3737 Market St
Philadelphia, PA 19104-5545
Phone (215) 662-8777

3801 Filbert St
Penn Center for Primary Care
Philadelphia, PA 19104-2640
Phone (215) 662-9990

51 N 39TH St
Philadelphia, PA 19104-2640
Phone (215) 662-9436

Hospital & facility affiliations

  • Pennsylvania Hospital Hospital, Philadelphia, PA, CCN 390226
  • Penn Presbyterian Medical Center Hospital, Philadelphia, PA, CCN 390223
  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111
  • Good Shepherd Penn Partners Long-term care hospital, Philadelphia, PA, CCN 392050

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group CurrentSince Jan 1, 1966 Accepting new patients
University of Penn - Medical Group Internal Medicine CurrentSince Jan 1, 1966 Accepting new patients
Trustees of the University of Pennsylvania Internal Medicine CurrentSince Apr 1, 2024 Accepting new patients
Presbyterian Medical Center of the University of Pennsylvania Health S Past Accepting new patients
University of Penn - Medical Group Past Accepting new patients

Locations

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

800 Walnut St
Fl 8
Philadelphia, PA 19107
Phone (215) 829-5638

3737 Market St
Ste 801
Philadelphia, PA 19104
Phone (215) 834-2604

3701 Market St
Fl 1
Philadelphia, PA 19104
Phone (215) 662-2250

800 Spruce St
William Penn Annex West, PA 19107
Phone (215) 829-3867

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 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": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512691200000",
    "number": "1912933607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 FILBERT ST",
            "address_2": "MAB, SUITE 102",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191042640",
            "telephone_number": "215-662-9990",
            "fax_number": "215-243-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 FILBERT ST",
            "address_2": "MAB, SUITE 102",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191042640",
            "telephone_number": "215-662-9990",
            "fax_number": "215-243-3297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51 N 39th St",
            "address_2": "MAB, Suite 102",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191042640",
            "country_code": "US",
            "telephone_number": "215-662-9990",
            "fax_number": "215-243-3297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOSSEIM",
        "first_name": "LAURA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-24",
        "last_updated": "2017-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD060366L",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "MD060366L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016413140002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.