Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary Koshy, MD

Individual provider Radiation Oncology Physician · NPI 1609972967

Mary Koshy, MD is a Radiation Oncology in Bradenton, Florida. Graduated from University of Florida College of Medicine in 1999, 27 years ago. Practices with Advocate Radiation Oncology LLC, a 21-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
27
Trained at
University of Florida College of Medicine
Licensed in
FL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5325 E State Road 64
Bradenton, FL 34208-5534
Phone: (941) 220-6263
Fax: (386) 490-9100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3080 Harbor Blvd, Port Charlotte, FL 33952-6720 — (941) 883-2199

Specialties & licences

Radiation Oncology Physician (primary) Taxonomy 2085R0001X · Licence ME92795 (FL)

Record details

NPI number1609972967
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 15, 2006
Last updated in NPPESSeptember 12, 2022
Certification dateSeptember 12, 2022
Mailing address1860 Boy Scout Dr Ste 201, Fort Myers, FL 33907-2119

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyRADIATION ONCOLOGY
Medical schoolUNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduated 1999 (27 years in practice)
Group practice Advocate Radiation Oncology Llc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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