Gregory Nicholas Kozlov, DO

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

036.127771 Issued in IL

Practice address

204 37TH Ave N
Suite 125
Saint Petersburg, FL 33704-1416

Phone

(727) 331-2457

NPI assigned

Mar 6, 2008

Sex

Male

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 FL, TX2 enrollments

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 2

Specialty

AnesthesiologyAlso: Pain Management

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Level of Consciousness Services LLCGroup PAC ID 8921334350, 5 clinicians

MSC Anesthesia IncGroup PAC ID 7517912579, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Level of Consciousness Services LLC

  • Anesthesiology Physician
  • Belleair, FL
  • NPI 1669037677

  Anesthesiology, FL

  Medicare reassignment Care Compare group NPD
• MSC Anesthesia Inc

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1073504346

  Anesthesiology, FL

  Medicare reassignment Care Compare group NPD
• Anesthesia Dynamics LLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1073001012

  Anesthesiology, FL

  Medicare reassignment NPD
• Fleming Island Anesthesia LLC

  • Anesthesiology Physician
  • Orange Park, FL
  • NPI 1487945895

  Anesthesiology, FL

  Medicare reassignment NPD
• Pinellas County Anesthesia Associates, LLC

  • Anesthesiology Physician
  • Dunedin, FL
  • NPI 1780253419

  Anesthesiology, FL

  Medicare reassignment NPD
• Tuba City Regional Health Care Corporation

  • General Acute Care Hospital
  • Tuba City, AZ
  • NPI 1548294424

  Anesthesiology, TX

  Medicare reassignment NPD
• Lakewood Ranch Anesthesia PL

  • Anesthesiology Physician
  • Lakewood Ranch, FL
  • NPI 1932157989

  Anesthesiology

  NPD
• Tuba City Regional Health Care Corporation

  • Family Medicine Physician
  • Cameron, AZ
  • NPI 1134382211
  NPD
• Tuba City Regional Health Care Corporation

  • Family Medicine Physician
  • Bodaway Gap, AZ
  • NPI 1710519913
  NPD
• Physicians Group Services PA

  • Family Medicine Physician
  • Orange Park, FL
  • NPI 1861440810
  NPD (past)

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392940800000",
    "number": "1205006277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 37TH AVE N",
            "address_2": "SUITE 125",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337041416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 37TH AVE N",
            "address_2": "SUITE 125",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337041416",
            "telephone_number": "727-331-2457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZLOV",
        "first_name": "GREGORY",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-06",
        "last_updated": "2014-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036.127771",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": "036.127771",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bipan Kotwal, M.D.
• Insaf Kouba
• Jamie Koumoundouros, PA
• Charles Joseph Kovarik III, PHARMD
• Nora Koziel, ARNP
• Nicholas A. Kozlov, M.D.
• Kenneth Michael Kozlowski, D.C.
• KPW Health LLC
• Frances Kramer, PT
• Shelley Kranz

• All providers in Saint Petersburg, FL
• Anesthesiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; 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.