Active NPI
Samuel E. Koszer, MD
- Neurology Physician
- Poughkeepsie, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 190217
- Practice address
- 21 Fox Street
Suite 102
Poughkeepsie, NY 12601-4723 - Phone
- (845) 452-9750
- Fax
- (845) 452-9751
- NPI assigned
- Aug 25, 2005
- Last updated
- Aug 19, 2014
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 190217 | NY | Primary |
Addresses
Primary practice location
21 Fox Street
Suite 102
Poughkeepsie, NY 12601-4723
Mailing address
21 Fox Street
Suite 102
Poughkeepsie, NY 12601-4723
Phone (845) 452-9750
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03728567 | Medicaid | NY | |
| 93328 | Other | NY | GHI HMO |
| 000115077212 | Other | NY | UNITED HEALTH CARE |
| 4661659 | Other | NY | AETNA |
| 6875056 | Other | NY | CIGNA |
| 518436633 | Other | NY | MULTIPLAN |
| 148202 | Other | NY | WELLCARE |
| 5C5034 | Other | NY | HEALTHNET |
| 618N5-1 | Other | NY | EMPIRE BLUE CROSS/BLUE SH |
| P797841 | Other | NY | OXFORD |
| 000405248005 | Other | NY | BS OF NE |
| 01527595 | Medicaid | NY | |
| 10032555 | Other | NY | CDPHP |
| 3098997 | Other | NY | GHI PPO |
| 792527 | Other | NY | MVP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- State University of New York at Stony Brook, School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Westage Bus Ctr Dr
Suite 324
Fishkill, NY 12524-2265
Phone (845) 452-9750
21 Fox St
Poughkeepsie, NY 12601-4724
Phone (845) 452-9750
21 Fox St
Suite 102
Poughkeepsie, NY 12601-4723
21 Fox Street
Suite 102
Poughkeepsie, NY 12601-4723
6369 Mill St
Suite 201
Rhinebeck, NY 12572-1408
Phone (845) 452-9750
67 Prospect Ave
Suite 160
Hudson, NY 12534-2914
Phone (845) 452-9750
71 Prospect Ave
Hudson, NY 12534-2907
Phone (845) 452-9750
Hospital & facility affiliations
- Columbia Memorial Hospital
- Wynn Hospital
- Vassar Brothers Medical Center
- Healthalliance Hospital Marys Avenue Campus
- Northern Dutchess Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Archer Medical Diagnostic Testing | Current | Accepting new patients | |
| Eriver Neurology of New York. LLC | Neurology | Current | Accepting new patients |
| Jacklab, Inc | Past | Accepting new patients | |
| Nuvance Health Medical Practice PC | Past | Accepting new patients |
Locations
200 Westage Business Ctr Dr
Ste 324
Fishkill, NY 12524
Phone (845) 896-0611
71 Prospect Ave
Ste 160
Hudson, NY 12534
Phone (732) 887-3243
21 Fox St
Poughkeepsie, NY 12601
21 Fox St
Ste 102
Poughkeepsie, NY 12601
Phone 84542597950
6369 Mill St
Ste 201
Rhinebeck, NY 12572
Phone (845) 516-4836
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HJIAAA
- skoszer@direct.health-quest.org
Organizations & group practices 4
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.
-
dba eRiver Neurology of NY LLC
- Neurology Physician
- Fishkill, NY
- NPI 1811064520
-
dba Archer Medical
- Physiological Laboratory
- North Tonawanda, NY
- NPI 1255796686
-
- Internal Medicine Physician
- Poughkeepsie, NY
- NPI 1437358033
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hudson, NY
- NPI 1528024718
-
- General Acute Care Hospital
- Kingston, NY
- NPI 1932182599
-
- General Acute Care Hospital
- Rhinebeck, NY
- NPI 1124072715
-
- General Acute Care Hospital
- Poughkeepsie, NY
- NPI 1740233899
-
dba Vassar Diagnostics
- Clinical Medical Laboratory
- Poughkeepsie, NY
- NPI 1780052514
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408406400000",
"number": "1982697975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 FOX STREET",
"address_2": "SUITE 102",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126014723",
"telephone_number": "845-452-9750",
"fax_number": "845-452-9751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 FOX STREET",
"address_2": "SUITE 102",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126014723",
"telephone_number": "845-452-9750",
"fax_number": "845-452-9751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSZER",
"first_name": "SAMUEL",
"middle_name": "E.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-25",
"last_updated": "2014-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "190217",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03728567",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI HMO",
"identifier": "93328",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "000115077212",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4661659",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6875056",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "518436633",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "148202",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "5C5034",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BLUE CROSS/BLUE SH",
"identifier": "618N5-1",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P797841",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS OF NE",
"identifier": "000405248005",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01527595",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10032555",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI PPO",
"identifier": "3098997",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "792527",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; 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.