DR. KRISTAQ KOCI
NPI 1215386859
Internal Medicine - Rheumatology in New York, NY

Active since June 04, 2016PECOS EnrolledAccepts Medicare Assignment
425 W 59TH ST, NEW YORK, NY 10019(212) 523-5900(212) 580-8582 Get Directions Write a Review

NPPES record last updated: June 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kristaq Koci NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KRISTAQ KOCI (NPI 1215386859) is an individual rheumatology provider in New York, New York, licensed in New York (310302) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai Hospital, and is a graduate of Touro Un Col Of Osteopathic Medicine, New York (2016).

NPPES Registry Identity

NPI1215386859
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. KRISTAQ KOCI
Location Address425 W 59TH STNew York, NY 10019-8022
Mailing Address150 E 42nd St Fl 9New York, NY 10017-5699 · (646) 605-8186
Fax(212) 580-8582
Sole ProprietorNo
Medical School CMSTouro Un Col Of Osteopathic Medicine, New YorkGraduated 2016
Enumeration DateJune 4, 2016
Last NPPES UpdateJune 29, 2021
NPPES CertifiedJune 28, 2021
NPI 1215386859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in NY · 310302
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
425 W 59TH ST, New York, NY 10019

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Kristaq Koci is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224432695
PECOS Enrollment IDI20210806001016
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
119 services73 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
110 services58 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
44 services44 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services17 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mount Sinai Hospital

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330024
LocationOne Gustave L Levy PlaceNew York, NY 10029 · New York County
Emergency services Birthing friendly

Mount Sinai St Luke's Roosevelt Hospital

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330046
Location1000 Tenth AvenueNew York, NY 10019 · New York County
Emergency services Birthing friendly

Mount Sinai Beth Israel

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330169
LocationFirst Avenue At 16th StreetNew York, NY 10003 · New York County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10019 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Endocrinology, Diabetes & Metabolism)
425 W 59TH ST, 8TH FLOOR
NEW YORK, NY 10019
Internal Medicine (Interventional Cardiology)
425 W 59TH ST, 9-C
NEW YORK, NY 10019
Internal Medicine (Cardiovascular Disease)
425 W 59TH ST, 9-C
NEW YORK, NY 10019
Obstetrics & Gynecology
425 W 59TH ST, 4B
NEW YORK, NY 10019
Internal Medicine (Cardiovascular Disease)
425 W 59TH ST
NEW YORK, NY 10019
Psychiatry & Neurology (Neurology)
425 W 59TH ST, SUITE 7C
NEW YORK, NY 10019
Surgery
425 W 59TH ST, SUITE 7A
NEW YORK, NY 10019
Physician Assistant (Medical)
425 W 59TH ST, 10TH FLOOR
NEW YORK, NY 10019

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristaq Koci's NPI number?

The NPI number for Kristaq Koci is 1215386859. It was assigned to this individual provider in the NPPES registry on June 4, 2016.

Where is Kristaq Koci located?

Kristaq Koci practices at 425 W 59th St, New York, NY 10019. The listed phone number is (212) 523-5900.

What is Kristaq Koci's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Kristaq Koci enrolled in Medicare?

Yes. Kristaq Koci is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Kristaq Koci affiliated with any hospitals?

According to CMS data, Kristaq Koci is affiliated with Mount Sinai Hospital, Mount Sinai St Luke's Roosevelt Hospital and Mount Sinai Beth Israel.

When was this NPI record last updated?

The NPPES record for Kristaq Koci was last updated on June 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.