Active NPI
Michael Kevin J Cozzi, M.D.
- Family Medicine Physician
- Bedford, NH
National Provider Identifier
1912989484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 14677
- Practice address
- 25 South River Road
Bedford, NH 03110 - Phone
- (603) 695-2572
- NPI assigned
- Nov 18, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 14677 | NH | Primary |
Addresses
Primary practice location
25 South River Road
Bedford, NH 03110
Mailing address
25 South River Road
Bedford, NH 03110
Phone (603) 695-2572
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2086069 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100222000760 | NH | Practitioner - Family Practice | 9234194788 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14677 | NH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elliot Professional Services | Current | Accepting new patients | |
| Elliot Physicians Network | Family Medicine | Current | Accepting new patients |
| Elliot Physicians Network | Past | Accepting new patients |
Locations
25 S River Rd
Bedford, NH 03110
Phone (603) 626-4392
20 Chambers Dr
Ste 1200
Hooksett, NH 03106
Phone (603) 624-8652
20 Chambers Dr
Ste 105
Hooksett, NH 03106
275 Mammoth Rd
Ste 1
Manchester, NH 03109
Phone (603) 663-3222
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Manchester, NH
- NPI 1831191659
Family Medicine, NH
-
- Internal Medicine Physician
- Manchester, NH
- NPI 1285627935
-
- Internal Medicine Physician
- Manchester, NH
- NPI 1962493940
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Manchester, NH
- NPI 1902996028
Hospital
-
- Home Health Agency
- Manchester, NH
- NPI 1548312705
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Kansas School of Med (KC/Wich/Sal), 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Elliot Physicians Network
Practice addresses (Care Compare)
20 Chambers Dr
Suite 1200
Hooksett, NH 03106-1981
Phone (603) 624-8652
Hospital & facility affiliations
- Vna Home Health and Hospice Services, Inc
- Elliot Hospital
- Catholic Medical Center
- Mary Hitchcock Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311292800000",
"number": "1912989484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 SOUTH RIVER ROAD",
"city": "BEDFORD",
"state": "NH",
"postal_code": "03110",
"telephone_number": "603-695-2572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 SOUTH RIVER ROAD",
"city": "BEDFORD",
"state": "NH",
"postal_code": "03110",
"telephone_number": "603-695-2572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COZZI",
"first_name": "MICHAEL KEVIN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-18",
"last_updated": "2011-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NH",
"license": "14677",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2086069",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bedford, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.