JOHN MICHAEL KOSTA (M.D.) – Otolaryngology Physician, NPI 1184642951

JOHN MICHAEL KOSTA (M.D.) is a healthcare provider. based in Grand rapids, Michigan. specializing in Otolaryngology Physician. They hold the professional credentials M.D.. They hold a License No. JK046253 (MI). The NPI Number for JOHN MICHAEL KOSTA (M.D.) is 1184642951

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
JOHN MICHAEL KOSTA (M.D.)
NPI
1184642951
Phone
(616) 575-1212
Address
655 KENMOOR AVE SE
Enumeration Date
18 July 2006
Last Update Date
21 July 2008

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6165751212
Graduation Year
1982 (44 years ago)
PAC ID
7517066939
Group Practice PAC ID
0547332751
Professional Enrollment ID
I20080703000415
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for JOHN MICHAEL KOSTA (M.D.)

  • Kenmoor Avenue Southeast, Eastmont, Grand Rapids Charter Township, Kent County, Michigan, 49547, United States

    SUITE A

    GRAND RAPIDS, MI 495468622

    Phone: (616) 575-1212

    Fax: (616) 575-1219

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-07-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080703000415IOtolaryngologyMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49546)

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Provider's Procedures

JOHN MICHAEL KOSTA (M.D.) performs procedures in Otolaryngology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OTOLARYNGOLOGYMI92567Eardrum testing using ear probe3838

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547332751View full group profile
NameSpecialtyState
-MI
Qualified AudiologistMI
O T O L A R Y N G O L O G YMI
Physician AssistantMI
Qualified AudiologistMI
O T O L A R Y N G O L O G YMI
O T O L A R Y N G O L O G YMI
-MI
Qualified AudiologistMI
Physician AssistantMI

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Frequently asked questions

What unique ID ties claims to JOHN MICHAEL KOSTA (M.D.)?
NPI 1184642951 is assigned to JOHN MICHAEL KOSTA (M.D.) under the national enumeration system.
Is JOHN MICHAEL KOSTA (M.D.) active in the national directory?
JOHN MICHAEL KOSTA (M.D.)'s public NPI profile is in an active state.
What field does JOHN MICHAEL KOSTA (M.D.) work in?
You can think of JOHN MICHAEL KOSTA (M.D.) as practicing within Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
Where is JOHN MICHAEL KOSTA (M.D.)'s primary listing?
We display Grand Rapids, Michigan because that is what the record indicates for JOHN MICHAEL KOSTA (M.D.).
What if Grand Rapids, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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