Individual provider Active NPI

Katherine A Cox, DO

  • Family Medicine Physician
  • Grass Lake, MI
National Provider Identifier
1942520424
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101018730 Issued in MI
Practice address
12369 E Michigan Ave
Grass Lake, MI 49240-9213
Phone
(517) 205-2525
Fax
(531) 387-6130
NPI assigned
Jun 7, 2010
Last updated
Mar 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 268963 NY
Family Medicine Physician 207Q00000X 5101018730 MI Primary

Addresses

Primary practice location

12369 E Michigan Ave
Grass Lake, MI 49240-9213

Mailing address

12369 E Michigan Ave
Grass Lake, MI 49240-9213
Phone (517) 205-2525

Other practice location 1

3160 21St St
Astoria
New York, NY 11106-4520
Phone (718) 808-7300

Other identifiers 1

IdentifierTypeStateIssuer
03662508MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MI2 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
I20130815000380 NY Practitioner - Family Practice 7911149240 Reassigns benefits to 1 organization
I20230316000917 MI Practitioner - Family Practice 7911149240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

12369 E Michigan Ave
Henry Ford Allegiance Family Medicine Gra
Grass Lake, MI 49240-9213
Phone (517) 205-2525

130 N Sherman St
Leslie, MI 49251-9409

205 N E Ave
Jackson, MI 49201-1753

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101018730MIMDFamily Medicine Physician
268963NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Family Medicine CurrentSince Nov 16, 2016 Accepting new patients
W.a. Foote Memorial Hospital CurrentSince Mar 14, 2023 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Nov 16, 2016 Accepting new patients
W. a. Foote Memorial Hospital Current Accepting new patients
W.a. Foote Memorial Hospital Family Medicine CurrentSince Mar 14, 2023 Accepting new patients
Wa Foote Memorial Hospital, Inc Past Accepting new patients

Locations

1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-4806

12369 E Michigan Ave
Grass Lake, MI 49240
Phone (517) 205-2525

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

130 N Sherman St
Leslie, MI 49251
Phone (517) 205-2500

2510 30th Ave
Long Island City, NY 11102
Phone (718) 267-4245

3160 21st St
Long Island City, NY 11106
Phone (718) 808-7300

150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119

Interoperability endpoints

  • Direct secure messaging: kcox854756@direct.hfhs.org

Organizations & group practices 6

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 4

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": "1275868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1942520424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12369 E MICHIGAN AVE",
            "city": "GRASS LAKE",
            "state": "MI",
            "postal_code": "492409213",
            "telephone_number": "517-205-2525",
            "fax_number": "313-876-1305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12369 E MICHIGAN AVE",
            "city": "GRASS LAKE",
            "state": "MI",
            "postal_code": "492409213",
            "telephone_number": "517-205-2525",
            "fax_number": "531-387-6130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3160 21ST ST",
            "address_2": "ASTORIA",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "111064520",
            "country_code": "US",
            "telephone_number": "718-808-7300",
            "fax_number": "718-274-6945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COX",
        "first_name": "KATHERINE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-07",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "268963",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101018730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03662508",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Lake, MI

Sources for this page

Verify at the official NPI Registry.