Russell Kosik, M.D., M.P.H

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

A124888 Issued in CA

Practice address

2678 South Rd Ste 202
Poughkeepsie, NY 12601-5254

Phone

(845) 790-5700

NPI assigned

May 30, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GU

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Guam Memorial Hospital

  • General Acute Care Hospital
  • Oka Tamuning, GU
  • NPI 1366519027
  Medicare reassignment NPD
• Guam Memorial Hospital

  • Skilled Nursing Facility
  • Oka Tamuning, GU
  • NPI 1952479131
  NPD
• Hudson Valley Radiologists P C

  • Diagnostic Radiology Physician
  • Poughkeepsie, NY
  • NPI 1114990561
  NPD (past)
• Hospital & Medical Foundation of Paris, Inc.

  • Critical Access Hospital
  • Paris, IL
  • NPI 1679502322
  NPD (past)

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1962763508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 S BASCOM AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282604",
            "telephone_number": "408-885-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2678 SOUTH RD STE 202",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126015254",
            "telephone_number": "845-790-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSIK",
        "first_name": "RUSSELL",
        "credential": "M.D., M.P.H",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-30",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A124888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yelena Komissarova, MD
• Astha Koolwal Kapoor, M.B.B.S. M.D.
• Benjamin Kornbluth
• Alexandria Kort, LMSW
• Samantha M Kosier
• Ronda Debra Kosseff-Salchert
• Atanas Kostov, PA
• Mariyka Kostova, PA
• Samuel E. Koszer, MD
• Lawrence Daniel Koutcher, M.D.

• Diagnostic Radiology Physician in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.