Katherine Anne Kosiv

MD | Pediatric Cardiology | Female

---

Complete Profile:

Katherine Anne Kosiv basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Katherine Anne Kosiv
Credential :	MD
Gender :	Female
Sole Proprietor :	Yes

Business Address:

Katherine Anne Kosiv address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	15 York St New Haven, CT, 06510-3221 United States
Phone Number :	203-785-2022

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1295099497
NPI Entity Type :	Individual
First Enrolment Date :	02 Jul, 2012
Last Updated On :	29 Aug, 2019

Medicare Participation:

Katherine Anne Kosiv participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	3577884485
Medicare Enrollment ID :	I20191003000403
Primary Specialty :	Pediatric Medicine
Medical School :	Other
Graduation Year :	2012
Accepts Medicare?	Yes. Katherine Anne Kosiv accepts medicare insurance.

Group Practice Association:

Katherine Anne Kosiv is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Katherine Anne Kosiv is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Yale University	9436061736	2186	1 Park St New Haven, CT - 065048901 Ph: 2037854081	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Katherine Anne Kosiv are as mentioned. Primary taxonomy code for Katherine Anne Kosiv, MD is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	125.061915	IL
2080P0202X	Pediatrics Pediatric Cardiology	Yes	63959	CT

Other Practice Locations:

Practice Address	City, State	Phone Number
OSF CHILDRENS HOSPITAL OF ILLINOIS, 530 N.E. GLEN OAK AVENUE PEORIA, IL, 61637-0001 United States	PEORIA, IL	309-655-7171

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	163 Woodlawn St Hamden, CT, 06517-1341 United States
Phone Number :	646-234-5020

Business Location:

Patients can refer following map for directions to Katherine Anne Kosiv practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.