Active NPI
Amanda Catherine Koziel, MD
- Family Medicine Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 26513
- Practice address
- 5380 S Rainbow Blvd Ste 120
Las Vegas, NV 89118-1878 - Phone
- (702) 463-4040
- NPI assigned
- May 31, 2018
- Last updated
- Nov 6, 2025
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 26513 | NV | Primary |
| Family Medicine Physician | 207Q00000X | 286831 | MA |
Addresses
Primary practice location
5380 S Rainbow Blvd Ste 120
Las Vegas, NV 89118-1878
Mailing address
1454 Madison Ave W
Immokalee, FL 34142-2200
Phone (239) 658-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5380 S Rainbow Blvd
Suite 120
Las Vegas, NV 89118-1878
Phone (702) 463-4040
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26513 | NV | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roseman Medical Research Institute, LLC | Family Medicine | Current | Accepting new patients |
| Collier Health Services, Inc | Current | Accepting new patients | |
| Collier Health Services Inc | Current | Accepting new patients |
Locations
1454 Madison Ave W
Immokalee, FL 34142
Phone (239) 658-3064
2355 Stanford Ct
#701
Naples, FL 34112
Phone (239) 244-1356
5380 S Rainbow Blvd
Ste 120
Las Vegas, NV 89118
Phone (702) 233-3444
Interoperability endpoints
- amanda.koziel.p1@direct.chcfhc.nextgenshare.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Roseman Medical Group
- Family Medicine Physician
- Las Vegas, NV
- NPI 1023479052
-
dba Healthcare Network
- Federally Qualified Health Center (FQHC)
- Immokalee, FL
- NPI 1609827211
-
dba Healthcare Network FHC Pharmacy
- Community/Retail Pharmacy
- Naples, FL
- NPI 1609759091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762387200000",
"number": "1134611742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1454 MADISON AVE W",
"city": "IMMOKALEE",
"state": "FL",
"postal_code": "341422200",
"telephone_number": "239-658-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5380 S RAINBOW BLVD STE 120",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891181878",
"telephone_number": "702-463-4040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOZIEL",
"first_name": "AMANDA",
"middle_name": "CATHERINE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-31",
"last_updated": "2025-11-06",
"certification_date": "2025-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NV",
"license": "26513",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "286831",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; 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.