Suni C Koshy, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN24623 Issued in FL

Practice address

1435 SE 8TH Ter Ste a
Cape Coral, FL 33990-3289

Phone

(239) 574-2000

NPI assigned

Mar 12, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Coast Florida P.a.

  dba Coast Dental-Cape Coral

  • Dentist
  • Cape Coral, FL
  • NPI 1689240087
  NPD
• Coast Florida P.a.

  • Dentist
  • Tampa, FL
  • NPI 1730287673
  NPD (past)

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

{
    "created_epoch": "1268352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1972826378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8457 SUMNER AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083809",
            "telephone_number": "239-244-9508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 SE 8TH TER STE A",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339903289",
            "telephone_number": "239-574-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1070 Old National Pike",
            "address_purpose": "LOCATION",
            "city": "Fredericktown",
            "state": "PA",
            "postal_code": "153332114",
            "country_code": "US",
            "telephone_number": "724-632-6801",
            "fax_number": "724-632-6312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOSHY",
        "first_name": "SUNI",
        "middle_name": "C",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-12",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN24623",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS038143",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007288440027",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jack Koburger, PA-C
• Jamie Lindon Kohl, ATC
• Hans Koop
• Ilana Rachele Koprowski
• Natalya Korneyeva, MSN, APRN, AGNP-C
• Gabriella Kostanets
• Rachel Kostelyk, OD
• Joseph Steven Kovacs, RN
• Frank Kratofil, PHARMD
• Sarah H Krauss, M.D.

• Dentist in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; 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.