Individual provider Active NPI

Carmen D Cosme, MD

  • General Practice Physician
  • Homosassa, FL
National Provider Identifier
1912957994
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
4301080986 Issued in MI
Practice address
7945 S Suncoast Blvd Ste a-B
Homosassa, FL 34446-5005
Phone
(352) 423-4923
NPI assigned
May 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 10120 PR
General Practice Physician 208D00000X 4301080986 MI Primary

Addresses

Primary practice location

7945 S Suncoast Blvd Ste a-B
Homosassa, FL 34446-5005

Mailing address

1425 S US 301
Sumterville, FL 33585-5141
Phone (352) 793-5900

Other identifiers 1

IdentifierTypeStateIssuer
498172MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070308000613 TX Practitioner - Pediatric MedicinePractitioner - General Practice 7911000153 Reassigns benefits to 3 organizations
I20230516003697 FL Practitioner - Pediatric Medicine 7911000153 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10120PRMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DHHS,PHS,Naihs, Gallup Indian Medical Center CurrentSince Jul 26, 2016 Accepting new patients
The Fort Defiance Indian Hospital Board, Incorporation CurrentSince Mar 2, 2020 Accepting new patients
Winnebago Tribe of Nebraska CurrentSince Jan 7, 2019 Accepting new patients
Project Health Inc Current Accepting new patients
Winnebago Tribe of Nebraska CurrentSince Jan 7, 2019 Accepting new patients
Project Health Inc CurrentSince Jun 27, 2023 Accepting new patients
Project Health Inc. CurrentSince Jun 27, 2023 Accepting new patients
Rapid City Indian Health Service Hospital Past Accepting new patients

Locations

7945 S Suncoast Blvd
Ste Ab
Homosassa, FL 34446
Phone (352) 423-4923

120 N Montgomery Ave
Inverness, FL 34450
Phone (352) 419-5760

1425 S US 301
Sumterville, FL 33585

1389 S US 301
Sumterville, FL 33585

225 Bluff St
Winnebago, NE 68071
Phone (402) 745-3950

516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1912957994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 S US 301",
            "city": "SUMTERVILLE",
            "state": "FL",
            "postal_code": "335855141",
            "telephone_number": "352-793-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7945 S SUNCOAST BLVD STE A-B",
            "city": "HOMOSASSA",
            "state": "FL",
            "postal_code": "344465005",
            "telephone_number": "352-423-4923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSME",
        "first_name": "CARMEN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "10120",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301080986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "498172",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homosassa, FL

Sources for this page

Verify at the official NPI Registry.