Individual provider Active NPI

Yelena Kozirovsky, M.D.

  • Diagnostic Radiology Physician
  • Lakeland, FL
National Provider Identifier
1003108085
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME147636 Issued in FL
Practice address
1420 Lakeland Hills Blvd
Lakeland, FL 33805-3256
Phone
(863) 680-7000
Fax
(866) 264-8519
NPI assigned
May 9, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD483130 PA
Diagnostic Radiology Physician 2085R0202X ME147636 FL Primary

Addresses

Primary practice location

1420 Lakeland Hills Blvd
Lakeland, FL 33805-3256

Mailing address

1600 Lakeland Hills Blvd
Lakeland, FL 33805-3065
Phone (863) 680-7000

Other practice location 1

1000 East Mountain Blvd
Wilkes Barre, PA 18711-0027
Phone (570) 808-7779

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ykozirovsky20122@direct.watsonclinicad.com Watson Clinic LLP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL, PA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20180607000174 NY Practitioner - Diagnostic Radiology 6002171329 Reassigns benefits to 4 organizations
I20210716000143 FL Practitioner - Diagnostic Radiology 6002171329 Reassigns benefits to 5 organizations
I20240319003628 PA Practitioner - Diagnostic Radiology 6002171329 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Women Center for RadiologyGroup PAC ID 5799978524, 5 clinicians
University of MiamiGroup PAC ID 3274795109, 2,346 clinicians

Practice addresses (Care Compare)

1621 N Mills Ave
Orlando, FL 32803-1849
Phone (407) 841-0822

3848 Fau Blvd
Boca Raton, FL 33431-6437
Phone (305) 243-6660

Hospital & facility affiliations

  • Univ of Miami Hospital and Clinics-Sylvester Compr Hospital, Miami, FL, CCN 100079

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD483130PAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Jul 1, 2019 Accepting new patients
University of Miami Current Accepting new patients
Fpa Hospital Based CurrentSince Apr 1, 2023 Accepting new patients
Montefiore Medical Center Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
Geisinger Clinic Diagnostic Radiology CurrentSince Jan 27, 2024 Accepting new patients
North Shore - Lij Medical PC CurrentSince Jul 1, 2018 Accepting new patients
Women Center for Radiology Diagnostic Radiology CurrentSince Nov 1, 2022 Accepting new patients
University of Miami CurrentSince Aug 1, 2023 Accepting new patients
Fpa Hospital Based Current Accepting new patients
University of Miami Diagnostic Radiology CurrentSince Aug 1, 2023 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Jan 27, 2023 Accepting new patients
Geisinger Clinic Diagnostic Radiology CurrentSince Jan 27, 2024 Accepting new patients
Fpa Hospital Based Diagnostic Radiology CurrentSince Apr 1, 2023 Accepting new patients
Lenox Hill Radiology & Medical Imaging Associates, PC Diagnostic Radiology CurrentSince Feb 1, 2025 Accepting new patients
Geisinger Clinic Current Accepting new patients
Geisinger-HM Joint Venture LLC Diagnostic Radiology CurrentSince Jan 27, 2024 Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince Jan 27, 2024 Accepting new patients
Geisinger-HM Joint Venture, LLC Diagnostic Radiology Current Accepting new patients
North Shore-Lij Medical PC CurrentSince Jul 1, 2018 Accepting new patients
Empire State Radiology P C Diagnostic Radiology CurrentSince Feb 5, 2023 Accepting new patients
Specialists in Medical Imaging, SC Diagnostic Radiology Past Accepting new patients

Locations (25 of 42)

3848 Fau Blvd
Boca Raton, FL 33431
Phone (561) 447-8990

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

1475 NW 12th Ave
Miami, FL 33136
Phone (305) 243-4200

1801 NW 9th Ave
Fl 6
Miami, FL 33136
Phone (305) 355-5006

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

1621 N Mills Ave
Orlando, FL 32803
Phone (407) 581-4147

1718 S Orange Ave
Orlando, FL 32806
Phone (407) 581-4147

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

2115 Little Rd
Trinity, FL 34655
Phone 7278418225410

4295 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 520-2250

200 E Gun Hill Rd
Bronx, NY 10467
Phone (718) 798-5449

4487 3rd Ave
Bronx, NY 10457
Phone (718) 960-3730

1276 Fulton Ave
Bronx, NY 10456
Phone (718) 518-5000

4422 3rd Ave
Bronx, NY 10457
Phone (718) 960-3917

111 E 210th St
Bronx, NY 10467

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

500 Commack Rd
Commack, NY 11725
Phone (516) 809-9666

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

3712 82nd St
Jackson Hts, NY 11372
Phone (718) 879-1600

27005 76th Ave
#222
New Hyde Park, NY 11040
Phone (718) 470-7260

16 Guion Pl
New Rochelle, NY 10801
Phone (914) 365-3680

1176 5th Ave
New York, NY 10029
Phone (212) 241-6237

1470 Madison Ave
New York, NY 10029
Phone (212) 241-0806

450 Lakeville Rd
North New Hyde Park, NY 11042
Phone (516) 321-3000

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: ykozirovsky3066635@direct.trinity-health.org
  • Direct secure messaging: ykozirovsky125965@direct.med.miami.edu

Organizations & group practices 21

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 21

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1304899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1003108085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 LAKELAND HILLS BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338053065",
            "telephone_number": "863-680-7000",
            "fax_number": "866-264-8519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 LAKELAND HILLS BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338053256",
            "telephone_number": "863-680-7000",
            "fax_number": "866-264-8519"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 East Mountain Blvd",
            "address_purpose": "LOCATION",
            "city": "Wilkes Barre",
            "state": "PA",
            "postal_code": "187110027",
            "country_code": "US",
            "telephone_number": "570-808-7779",
            "fax_number": "570-808-5390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOZIROVSKY",
        "first_name": "YELENA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-09",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD483130",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME147636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ykozirovsky20122@direct.watsonclinicad.com",
            "affiliation": "Y",
            "endpointDescription": "Direct Messaging Address",
            "affiliationName": "Watson Clinic LLP",
            "address_1": "1430 Lakeland Hills Blvd",
            "city": "Lakeland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338053202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.