Individual provider Active NPI

Kevin J. Bozic, MD

  • Orthopaedic Surgery Physician
  • Austin, TX
National Provider Identifier
1013960921
Registry record updated Dec 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
Q3646 Issued in TX
Practice address
1301 W 38TH St
Ste 102
Austin, TX 78705-1000
Phone
(512) 454-4561
Fax
(512) 406-7330
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A81571 CA
Orthopaedic Surgery Physician 207X00000X Q3646 TX Primary

Addresses

Primary practice location

1301 W 38TH St
Ste 102
Austin, TX 78705-1000

Mailing address

1400 Barbara Jordan Blvd
Dept of Surgery and Perioperative Care - Ste. 1.114 Ac
Austin, TX 78723-3092
Phone (512) 495-5089

Other identifiers 2

IdentifierTypeStateIssuer
00A815710MedicaidCA
351396201MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20151014000788 TX Practitioner - Orthopedic Surgery 9739262908 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of California, San Francisco School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The University of Texas at AustinGroup PAC ID 2668559436, 154 clinicians
University of Texas at Austin Dell Medical SchoolGroup PAC ID 7113401340, 144 clinicians

Practice addresses (Care Compare)

1601 Trinity St
Austin, TX 78712-1765
Phone (833) 882-2737

Hospital & facility affiliations

  • Dell Seton Med Center at the University of TX Hospital, Austin, TX, CCN 450124

Merit-based Incentive Payment System (MIPS)

Final score
79.35 of 100Reported as group
Quality
76.32
Improvement activities
40
Cost
74.57

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement16
Knee replacement16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A81571CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas at Austin Dell Medical School CurrentSince Oct 1, 2017 Accepting new patients
University of Texas at Austin Dell Medical School CurrentSince Oct 1, 2017 Accepting new patients
University Health Services Past Accepting new patients

Locations

1601 Trinity St
Austin, TX 78712
Phone (833) 882-2737

1601 Trinity St
Stop Z0200
Austin, TX 78712
Phone (512) 495-5300

Interoperability endpoints

  • Direct secure messaging: kevin.bozic.1@16041.direct.athenahealth.com

Organizations & group practices 3

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.

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451347200000",
    "number": "1013960921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 BARBARA JORDAN BLVD",
            "address_2": "DEPT OF SURGERY AND PERIOPERATIVE CARE - STE. 1.114 AC",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787233092",
            "telephone_number": "512-495-5089",
            "fax_number": "512-324-8906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W 38TH ST",
            "address_2": "STE 102",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051000",
            "telephone_number": "512-454-4561",
            "fax_number": "512-406-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOZIC",
        "first_name": "KEVIN",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2015-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A81571",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "Q3646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A815710",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "351396201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.