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KOSUKE IZUMI M.D.
NPI 1699972182
Pediatrics in Philadelphia, PA

Active since June 28, 2007PECOS Enrolled
3401 CIVIC CENTER BLVD, CHCA GENETICS, PHILADELPHIA, PA 19104(215) 590-2920(215) 590-3298 Get Directions Write a Review

NPPES record last updated: June 27, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Kosuke Izumi M.d. NPPES

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

KOSUKE IZUMI M.D. (NPI 1699972182) is an individual pediatrics provider in Philadelphia, Pennsylvania, licensed in Texas (U1686) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699972182
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameKOSUKE IZUMICredential: M.D.
Location Address3401 CIVIC CENTER BLVD, CHCA GENETICSPhiladelphia, PA 19104-4319
Mailing Address100 Penn Square East, 9th Fl North Tower, Chca GeneticsPhiladelphia, PA 19107 · (267) 425-9200 · Fax (267) 425-9299
Phone(215) 590-2920
Fax(215) 590-3298
Sole ProprietorNo
Enumeration DateJune 28, 2007
Last NPPES UpdateJune 27, 2023
NPPES CertifiedJune 27, 2023
✔ NPI 1699972182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · U1686
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedMedical Genetics · Clinical Genetics (M.D.)Taxonomy 207SG0201X · License MD442257 (PA)
3401 CIVIC CENTER BLVD, Philadelphia, PA 19104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kosuke Izumi M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 19104 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

AARON DORFMAN M.D.
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - CARDIOLOGY
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-4040
MS. NICOLE MARIE KOEPKE CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - EMERGENCY MED
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1944
DR. CASSANDRA ALYS LIGH MD
Surgery (Plastic and Reconstructive Surgery)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-2208
DR. PREETI SOI
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-7555
ROSALIND USHER M.D.
Pediatrics (Developmental - Behavioral Pediatrics)
3401 CIVIC CENTER BLVD, DIVISION OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-6336
DR. MATTHEW DAVID SCHREIER MD
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
DR. TERRENCE CALDWELL JR. PHARMD
Pharmacist (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
ALYSSA STIEFEL CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000

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 Kosuke Izumi's NPI number?

The NPI number for Kosuke Izumi is 1699972182. It was assigned to this individual provider in the NPPES registry on June 28, 2007.

Where is Kosuke Izumi located?

Kosuke Izumi practices at 3401 Civic Center Blvd Chca Genetics, Philadelphia, PA 19104. The listed phone number is (215) 590-2920.

What is Kosuke Izumi's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kosuke Izumi enrolled in Medicare?

Yes. Kosuke Izumi is registered in the Medicare PECOS enrollment system.

What insurance does Kosuke Izumi accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Kosuke Izumi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kosuke Izumi was last updated on June 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.