| Dr Samir Elie Kodsi, MD | |
|
1086 Franklin St, Radiology Dept, Johnstown, PA 15905-4305 | |
| (814) 539-5987 | |
| (814) 535-4176 |
| Full Name | Dr Samir Elie Kodsi |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 20 Years |
| Location | 1086 Franklin St, Johnstown, Pennsylvania |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720100100 | NPI | - | NPPES |
| 102603043 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 229111 (Massachusetts) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | MD438731 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Medstar Union Memorial Hospital | Baltimore, MD | Hospital |
| Medstar Good Samaritan Hospital | Baltimore, MD | Hospital |
| Medstar Franklin Square Medical Center | Baltimore, MD | Hospital |
| Medstar Harbor Hospital | Baltimore, MD | Hospital |
| Medstar Saint Mary's Hospital | Leonardtown, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medstar Medical Group Ii Llc | 0547413825 | 2998 |
| Physician Imaging Of Washington Hospital Center Llc | 6204910292 | 86 |
| Medstar Medical Group Ii Llc | 0547413825 | 2998 |
| Medstar Medical Group - Southern Maryland Llc | 1355667056 | 224 |
| Physician Imaging Of Washington Hospital Center Llc | 6204910292 | 86 |
| Entity Name | Physician Imaging Of Washington Hospital Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831385871 PECOS PAC ID: 6204910292 Enrollment ID: O20080229000143 |
| Entity Name | Medstar Medical Group Ii Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184046187 PECOS PAC ID: 0547413825 Enrollment ID: O20130117000415 |
| Entity Name | Medstar Medical Group Radiology, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326450156 PECOS PAC ID: 1557589157 Enrollment ID: O20140826000263 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Samir Elie Kodsi, MD 239 Main St, Suite 400, Johnstown, PA 15901-1640 Ph: (814) 539-5987 | Dr Samir Elie Kodsi, MD 1086 Franklin St, Radiology Dept, Johnstown, PA 15905-4305 Ph: (814) 539-5987 |
Subarna Eisaman, Radiology Medicare: Accepting Medicare Assignments Practice Location: 337 Somerset Street Upmcjohn P. Murtha Regional Cance, Department Of Radiation Oncology, Johnstown, PA 15901 Phone: 814-534-4724 | |
Dr. Howard I Forman, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1086 Franklin St, Johnstown, PA 15905 Phone: 814-539-5987 Fax: 814-535-4176 | |
Dr. Michael S Hahm, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1086 Franklin St, Johnstown, PA 15905 Phone: 814-539-5987 Fax: 814-535-4176 | |
Douglas Jackson, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 337 Somerset St, Johnstown, PA 15901 Phone: 814-533-0106 | |
Dr. Kiet A Hoang, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1086 Franklin St, Johnstown, PA 15905 Phone: 814-539-5987 Fax: 814-535-4176 | |
Dr. Anthony J Scuderi, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1086 Franklin St, Johnstown, PA 15905 Phone: 814-539-5987 Fax: 814-535-4176 | |
Dr. Lawrence M Mcniesh, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1086 Franklin St, Johnstown, PA 15905 Phone: 814-539-5987 Fax: 814-535-4176 |