Heather Koza, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301104250 Issued in MI

Practice address

23800 Orchard Lake Rd Ste 202
Farmington Hills, MI 48336-2562

Phone

(248) 997-5964

Fax

(833) 428-8854

NPI assigned

Jun 8, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Family Practice

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

S Park-Davis HealthcareGroup PAC ID 6204126857, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Henry Ford Health West Bloomfield Hospital Hospital, W Bloomfield, MI, CCN 230302

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hkoza1135169@direct.hfhs.org
• FHIR API: https://api.platform.athenahealth.com/13300/brand/1/csg/1/fhir/r4
• Direct secure messaging: heather.koza.1@32695.direct.athenahealth.com

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.

• S Park-Davis Healthcare

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1649631813

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Legacy Family Care PLLC

  • Family Medicine Physician
  • Farmington Hills, MI
  • NPI 1841000361
  Medicare reassignment NPD
• American Ambulatory Physicians

  • Urgent Care Clinic/Center
  • Hartland, MI
  • NPI 1437407483
  NPD (past)
• Toni Ballitch Trate DO PC

  • General Practice Physician
  • Farmington Hills, MI
  • NPI 1932396538
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Henry Ford Health System

  • General Acute Care Hospital
  • West Bloomfield, MI
  • NPI 1407867559
  Care Compare affiliation

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

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1194045526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23800 ORCHARD LAKE RD STE 202",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483362562",
            "telephone_number": "248-997-5964",
            "fax_number": "833-428-8854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23800 ORCHARD LAKE RD STE 202",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483362562",
            "telephone_number": "248-997-5964",
            "fax_number": "833-428-8854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZA",
        "first_name": "HEATHER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-08",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301104250",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301104250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sierra Kowalski, BCABA
• Tina Kowalski
• Grace Neva Mei Kowalsky
• Michael Kowalsky
• Omolayo Koya
• Kimberly Lynn Kozaczynski, LMSW SSW
• Ashley Kozicki
• Dana Marie Kozinski, MA, BCBA
• Kelly Kozlowski
• Caitlin Kozma

• Family Medicine Physician in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.

Verify at the official NPI Registry.