MR. MARK KOSANOVICH M.D.
NPI 1275517401
Obstetrics & Gynecology in Chicago, IL

Q: What is Mark Kosanovich's NPI number?

The NPI number for Mark Kosanovich is 1275517401. It was assigned to this individual provider in the NPPES registry on December 1, 2005.

Q: What is Mark Kosanovich's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Kosanovich was last updated on June 12, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 01, 2005PECOS EnrolledAccepts Medicare Assignment

2525 S MICHIGAN AVE, B-390, CHICAGO, IL 60616(312) 567-6691(312) 328-7895 Get Directions Write a Review

NPPES record last updated: June 12, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mr. Mark Kosanovich M.d. NPPES

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

MR. MARK KOSANOVICH M.D. (NPI 1275517401) is an individual obstetrics & gynecology provider in Chicago, Illinois, licensed in Illinois (036100871) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Rush Medical College Of Rush University (1997).

NPPES Registry Identity

NPI1275517401

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameMR. MARK KOSANOVICHCredential: M.D.

Location Address2525 S MICHIGAN AVE, B-390Chicago, IL 60616-2333

Mailing Address2525 S Michigan Ave, B-390Chicago, IL 60616-2333 · (312) 567-6691 · Fax (312) 328-7895

Phone(312) 567-6691

Fax(312) 328-7895

Sole ProprietorNo

Medical School CMSRush Medical College Of Rush UniversityGraduated 1997

Enumeration DateDecember 1, 2005

Last NPPES UpdateJune 12, 2012

✔ NPI 1275517401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in IL · 036100871

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

2525 S MICHIGAN AVE, Chicago, IL 60616

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Other Identifiers 4

Other01621679IL · Bcbs Of Il

Medicare UPINH 48080IL

Medicaid036100871IL

Medicare ID-Type Unspecified200114IL · Group 950150

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice, Molina Healthcare and more.Insurance ›

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

Mr. Mark Kosanovich M.d. 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 ID7911009717

PECOS Enrollment IDI20210224000234

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60616 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

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

Most-billed visit code 99213

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.

DR. CHARLES D CAMPBELL M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

2525 S MICHIGAN AVE
CHICAGO, IL 60616

Cook County (312) 961-9632

MING H. HWANG M.D.

Internal Medicine (Cardiovascular Disease)

2525 S MICHIGAN AVE
CHICAGO, IL 60616

Cook County (312) 567-2380

MR. ROBERT CHANNON M.D.

Psychiatry & Neurology (Psychiatry)