Active NPI
Yelena Kozirovsky, M.D.
- Diagnostic Radiology Physician
- Lakeland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME147636
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ykozirovsky20122@direct.watsonclinicad.com | Watson Clinic LLP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD483130 | PA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Current | Accepting new patients | |
| University of Miami | Current | Accepting new patients | |
| Fpa Hospital Based | Current | Accepting new patients | |
| Montefiore Medical Center | Diagnostic Radiology | Current | Accepting new patients |
| Geisinger Clinic | Diagnostic Radiology | Current | Accepting new patients |
| North Shore - Lij Medical PC | Current | Accepting new patients | |
| Women Center for Radiology | Diagnostic Radiology | Current | Accepting new patients |
| University of Miami | Current | Accepting new patients | |
| Fpa Hospital Based | Current | Accepting new patients | |
| University of Miami | Diagnostic Radiology | Current | Accepting new patients |
| Mori Bean and Brooks Inc | Diagnostic Radiology | Current | Accepting new patients |
| Geisinger Clinic | Diagnostic Radiology | Current | Accepting new patients |
| Fpa Hospital Based | Diagnostic Radiology | Current | Accepting new patients |
| Lenox Hill Radiology & Medical Imaging Associates, PC | Diagnostic Radiology | Current | Accepting new patients |
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger-HM Joint Venture LLC | Diagnostic Radiology | Current | Accepting new patients |
| Geisinger-HM Joint Venture, LLC | Current | Accepting new patients | |
| Geisinger-HM Joint Venture, LLC | Diagnostic Radiology | Current | Accepting new patients |
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| Empire State Radiology P C | Diagnostic Radiology | Current | 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
- ykozirovsky3066635@direct.trinity-health.org
- 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.
-
- Hepatology Physician
- Miami, FL
- NPI 1013967827
-
- Diagnostic Radiology Physician
- Orlando, FL
- NPI 1952396194
-
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1093782070
-
- Nuclear Medicine Physician
- New York, NY
- NPI 1629319413
-
- Family Medicine Physician
- Danville, PA
- NPI 1366493868
-
- Family Medicine Physician
- Lock Haven, PA
- NPI 1144876137
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1821036807
FL
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Diagnostic Radiology Physician
- Miami, FL
- NPI 1104876622
-
- Internal Medicine Physician
- Miami Beach, FL
- NPI 1124768627
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Special Hospital
- Miami, FL
- NPI 1679660617
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.