DR. JOHN ANDREW KOSCHAK DPM NPI 1477550325

NPI Information

  • NPI: 1477550325
  • Provider Name: DR. JOHN ANDREW KOSCHAK, DPM
  • Classification: Podiatrist - 213EP1101X
  • Specialization: Primary Podiatric Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 315 CHURCH ST
    KINGSTON, PA
    ZIP 18704
  • Phone: (570) 288-3400

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NPI Details

DR. John Andrew Koschak, DPM is a primary podiatric medicine podiatrist in Kingston, PA. DR. John Andrew Koschak, DPM NPI is 1477550325. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

315 CHURCH ST
KINGSTON, PA
ZIP 18704-601
Phone: (570) 288-3400
Fax: (570) 288-3400

The NPI 1477550325 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient home visit, typically 15 minutes (HCPCS:99347)
  • Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes (HCPCS:99334)
  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • Established patient home visit, typically 25 minutes (HCPCS:99348)
  • Removal of fingernails or toenails, 1-5 nails (HCPCS:11720)
  • New patient home visit, typically 20 minutes (HCPCS:99341)
  • Simple separation of fingernail or toenail from nail bed, first nail (HCPCS:11730)
  • New patient custodial care facility, group care, or assisted living visit, typically 20 minutes (HCPCS:99324)
  • New patient home visit, typically 30 minutes (HCPCS:99342)

The enumeration date for this NPI number is 7/7/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213EP1101XPodiatristPrimary Podiatric MedicineSC003385LPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1473157MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIA
2T87593MEDICARE UPINPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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