DR. ANDREW JEROME KOSMOWSKI MD
NPI 1629051727
Emergency Medicine in Fort Drum, NY
About Dr. Andrew Jerome Kosmowski Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ANDREW JEROME KOSMOWSKI MD (NPI 1629051727) is an individual emergency medicine provider in Fort Drum, New York, licensed in North Carolina (200100158) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Andrew Jerome Kosmowski Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Andrew Kosmowski reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Myrtle Beach, SC 29572
- Reassigned Medicare billing, South Carolina enrollment
- 559 clinicians in this Medicare group
Varnville, SC 29944
- Reassigned Medicare billing, South Carolina enrollment
- 212 clinicians in this Medicare group
Oka Tamuning, GU 96913
- Reassigned Medicare billing, Guam enrollment
- 320 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.
Areas of Expertise CMS Part B claims 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 13602 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Andrew Kosmowski's NPI number?
The NPI number for Andrew Kosmowski is 1629051727. It was assigned to this individual provider in the NPPES registry on November 22, 2005.
Where is Andrew Kosmowski located?
Andrew Kosmowski practices at 11050 Mt Belvedere Blvd Usa/Meddac/Credentials, Fort Drum, NY 13602. The listed phone number is (315) 772-4025.
What is Andrew Kosmowski's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Andrew Kosmowski enrolled in Medicare?
Yes. Andrew Kosmowski is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Andrew Kosmowski's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Kosmowski reassigns Medicare benefits to 3 organizations: Acs Primary Care Physicians - Southeast PC (Myrtle Beach, SC), Beaufort County Memorial Hospital (Varnville, SC) and Guam Memorial Hospital (Oka Tamuning, GU). Each 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 Andrew Kosmowski'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 Andrew Kosmowski was last updated on November 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Dr. Andrew Jerome Kosmowski, MD · NPI 1629051727
Emergency Medicine physician in Fort Drum, New York. Individual provider, active in the CMS NPPES registry since November 22, 2005.
## Identity
- **NPI:** 1629051727 (Entity type: Individual)
- **Enumerated:** November 22, 2005
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 200100158 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 11050 MT BELVEDERE BLVD, USA/MEDDAC/CREDENTIALS, Fort Drum, NY 13602-5004
- **Phone:** (315) 772-4025 · **Fax:** (315) 772-9498
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Acs Primary Care Physicians - Southeast PC (NPI 1861430555, Myrtle Beach, SC); Beaufort County Memorial Hospital (NPI 1033175344, Varnville, SC); Guam Memorial Hospital (NPI 1366519027, Oka Tamuning, GU) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 8, 2012
- **Other identifiers:** Medicare UPIN VAD000
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Source: [NPI Profile](https://npiprofile.com/npi/1629051727) · Data from the CMS NPPES public registry.