Individual provider Active NPI

John P. Kostrzewa, M.D.

  • Otolaryngology Physician
  • Huntsville, AL
National Provider Identifier
1093924359
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
27811 Issued in AL
Practice address
1963 Memorial Parkway SW
Suite 5
Huntsville, AL 35801
Phone
(256) 536-9300
Fax
(256) 535-9032
NPI assigned
May 22, 2007
Last updated
Dec 22, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Otolaryngology Physician 207Y00000X 27811 AL Primary

Addresses

Primary practice location

1963 Memorial Parkway SW
Suite 5
Huntsville, AL 35801

Mailing address

PO Box 18066
Huntsville, AL 35804-8066
Phone (256) 536-9300

Other identifiers 3

IdentifierTypeStateIssuer
51107582OtherALBLUECROSS BLUESHIELD OF AL
1437279601MedicaidAL
51103360OtherALBLUECROSS BLUESHIELD OF AL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20100914000336 AL Practitioner - Otolaryngology 0547385684 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Alabama ENT AssociatesGroup PAC ID 5597744748, 26 clinicians

Practice addresses (Care Compare)

1963 Memorial Pkwy SW
Suite 5 and 9
Huntsville, AL 35801-5003
Phone (256) 536-9300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.9 of 100Reported as group
Quality
81.06
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27811ALMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Alabama ENT Associates Otolaryngology CurrentSince Jul 1, 2010 Accepting new patients
North Alabama ENT Associates, P.C. Otolaryngology Past Accepting new patients
HH Physicians Network PastSince Nov 1, 2023 Accepting new patients

Locations

1963 Memorial Pkwy SW
Ste 5
Huntsville, AL 35801
Phone (256) 265-2464

927 Franklin St SE
Huntsville, AL 35801
Phone (256) 428-3000

927 Franklin St SE
Ste 100
Huntsville, AL 35801
Phone (256) 535-9038

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1093924359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18066",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358048066",
            "telephone_number": "256-536-9300",
            "fax_number": "256-535-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1963 MEMORIAL PARKWAY SW",
            "address_2": "SUITE 5",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "35801",
            "telephone_number": "256-536-9300",
            "fax_number": "256-535-9032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTRZEWA",
        "first_name": "JOHN",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "AL",
            "license": "27811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD OF AL",
            "identifier": "51107582",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437279601",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD OF AL",
            "identifier": "51103360",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.