Individual provider Active NPI

John F Kozlovsky, M.D.,P.A.

  • Ophthalmology Physician
  • San Antonio, TX
National Provider Identifier
1063401255
Registry record updated Oct 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
J0050 Issued in TX
Practice address
2929 Mossrock
Suite 104
San Antonio, TX 78230-5141
Phone
(210) 377-0350
Fax
(210) 377-2982
NPI assigned
Oct 19, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X J0050 TX Primary

Addresses

Primary practice location

2929 Mossrock
Suite 104
San Antonio, TX 78230-5141

Mailing address

2929 Mossrock
Suite 104
San Antonio, TX 78230-5141
Phone (210) 377-0350

Other identifiers 2

IdentifierTypeStateIssuer
110654401MedicaidTX
180040180MedicaidTX

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
I20090604000244 TX Practitioner - Ophthalmology 1557364346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Baylor College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. John F Kozlovsky MD PAGroup PAC ID 1254485543, 2 clinicians

Practice addresses (Care Compare)

2929 Mossrock
Suite 104
San Antonio, TX 78230-5110

2929 Mossrock
Suite 104
San Antonio, TX 78230-5141
Phone (210) 377-0350

Merit-based Incentive Payment System (MIPS)

Final score
91.57 of 100Reported as individual
Quality
97.2
Improvement activities
40
Cost
75.63

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery184

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J0050TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. John F Kozlovsky MD PA Ophthalmology CurrentSince Jul 24, 2009 Accepting new patients

Locations

2929 Mossrock
Ste 104
San Antonio, TX 78230
Phone (210) 377-0350

2929 Mossrock
Ste 206
San Antonio, TX 78230
Phone 2107364461152

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318377600000",
    "number": "1063401255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 MOSSROCK",
            "address_2": "SUITE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782305141",
            "telephone_number": "210-377-0350",
            "fax_number": "210-377-2982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 MOSSROCK",
            "address_2": "SUITE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782305141",
            "telephone_number": "210-377-0350",
            "fax_number": "210-377-2982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZLOVSKY",
        "first_name": "JOHN",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.,P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2011-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "J0050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110654401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180040180",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.