Individual provider Active NPI

Andrzej Kozyra, MD

  • Nephrology Physician
  • Brooklyn, NY
National Provider Identifier
1144603952
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
300367 Issued in NY
Practice address
960 40TH St
Brooklyn, NY 11219-1518
Phone
(718) 369-1444
NPI assigned
Jun 30, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 300367 NY Primary

Addresses

Primary practice location

960 40TH St
Brooklyn, NY 11219-1518

Mailing address

PO Box 416173
Boston, MA 02241-6173
Phone (610) 644-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20210309001890 NY Practitioner - Interventional Radiology 5294141636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
State University of New York Downstate Medical Center, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Access Care Physician PLLCGroup PAC ID 8224929997, 18 clinicians

Practice addresses (Care Compare)

960 40TH St
Brooklyn, NY 11219-1518
Phone (718) 369-1444

Merit-based Incentive Payment System (MIPS)

Final score
92.95 of 100Reported as group
Quality
76.17
Promoting interoperability
99
Improvement activities
40
Cost
67.84

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
300367NYMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Renal Focus ASC LLC CurrentSince Dec 12, 2021 Accepting new patients
American Access Care Physician PLLC CurrentSince Feb 1, 2021 Accepting new patients

Locations

1250 67th St
Brooklyn, NY 11219
Phone (718) 232-2322

960 40th St
Brooklyn, NY 11219
Phone (718) 369-1444

2060 Utica Ave
Brooklyn, NY 11234
Phone (718) 676-5309

11919 Graham Ct
Flushing, NY 11354
Phone (718) 552-1000

900 Northern Blvd
Ste 140
Great Neck, NY 11021
Phone (516) 466-6760

403 E 91st St
Fl 2
New York, NY 10128
Phone (212) 427-9895

35 E 110th St
Fl 3
New York, NY 10029
Phone (212) 426-3469

35 E 110th St
#2
New York, NY 10029
Phone (212) 427-9895

27005 76th Ave
North New Hyde Pk, NY 11040

20606 Hillside Ave
Queens Village, NY 11427
Phone 7182225999213

Interoperability endpoints

  • Direct secure messaging: andrzej.kozyra.p30@direct.aac.nextgenshare.com
  • Direct secure messaging: andrzej.kozyra.p24@direct.aac.nextgenshare.com
  • Direct secure messaging: andrzej.kozyra.p23@direct.aac.nextgenshare.com

Organizations & group practices 2

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": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1144603952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416173",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416173",
            "telephone_number": "610-644-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 40TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112191518",
            "telephone_number": "718-369-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZYRA",
        "first_name": "ANDRZEJ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-30",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "300367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.