Individual provider Active NPI

Samuel E. Koszer, MD

  • Neurology Physician
  • Poughkeepsie, NY
National Provider Identifier
1982697975
Registry record updated Aug 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
190217 Issued in NY
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, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
03728567MedicaidNY
93328OtherNYGHI HMO
000115077212OtherNYUNITED HEALTH CARE
4661659OtherNYAETNA
6875056OtherNYCIGNA
518436633OtherNYMULTIPLAN
148202OtherNYWELLCARE
5C5034OtherNYHEALTHNET
618N5-1OtherNYEMPIRE BLUE CROSS/BLUE SH
P797841OtherNYOXFORD
000405248005OtherNYBS OF NE
01527595MedicaidNY
10032555OtherNYCDPHP
3098997OtherNYGHI PPO
792527OtherNYMVP

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050920000325 NY Practitioner - NeurologyPractitioner - Psychiatry 9537193529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Psychiatry
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
Eriver Neurology of New York LLCGroup PAC ID 5193759033, 4 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Archer Medical Diagnostic Testing CurrentSince Jul 13, 2022 Accepting new patients
Eriver Neurology of New York. LLC Neurology CurrentSince Sep 1, 2005 Accepting new patients
Jacklab, Inc PastSince Nov 2, 2016 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/HJIAAA
  • Direct secure messaging: 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.