ANN MARIE VISOSKY MD
NPI 1245413103
Otolaryngology - Plastic Surgery within the Head & Neck in Los Angeles, CA
About Ann Marie Visosky Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANN MARIE VISOSKY MD (NPI 1245413103) is an individual plastic surgery within the head & neck provider in Los Angeles, California, licensed in California (A101090) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS and is a graduate of University Of California, San Francisco School Of Medicine (2002).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ann Marie Visosky Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Ann Marie Visosky reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90034
- Reassigned Medicare billing, California enrollment
- Also billed through NPI 1396287082 (California)
- 13,921 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
LOS ANGELES, CA 90034
LOS ANGELES, CA 90034
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 Ann Marie Visosky's NPI number?
The NPI number for Ann Marie Visosky is 1245413103. It was assigned to this individual provider in the NPPES registry on December 13, 2007.
Where is Ann Marie Visosky located?
Ann Marie Visosky practices at 6041 Cadillac Ave, Los Angeles, CA 90034. The listed phone number is (323) 857-2000.
What is Ann Marie Visosky's specialty?
The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.
Is Ann Marie Visosky enrolled in Medicare?
Yes. Ann Marie Visosky 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.
Which organization bills Medicare for Ann Marie Visosky's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ann Marie Visosky reassigns Medicare benefits to Southern California Permanente Medical Group (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ann Marie Visosky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Ann Marie Visosky was last updated on December 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Ann Marie Visosky, MD · NPI 1245413103
Plastic Surgery within the Head & Neck physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since December 13, 2007.
## Identity
- **NPI:** 1245413103 (Entity type: Individual)
- **Enumerated:** December 13, 2007
- **Primary specialty:** Otolaryngology - Plastic Surgery within the Head & Neck · taxonomy 207YX0007X
- **State license:** A101090 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 6041 CADILLAC AVE, Los Angeles, CA 90034-1702
- **Phone:** (323) 857-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1043242563, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, San Francisco School Of Medicine, class of 2002
## Record status
- **NPPES last updated:** December 2, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1245413103) · Data from the CMS NPPES public registry.