Individual provider Active NPI

James Kozarek, MD

  • Family Medicine Physician
  • Edinburgh, IN
National Provider Identifier
1235216763
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01035345 Issued in IN
Practice address
201 W Main Cross St
Edinburgh, IN 46124-1346
Phone
(812) 526-0261
Fax
(812) 526-3118
NPI assigned
Nov 1, 2006
Last updated
Mar 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01035345 IN Primary

Addresses

Primary practice location

201 W Main Cross St
Edinburgh, IN 46124-1346

Mailing address

201 W Main Cross St
Edinburgh, IN 46124-1346
Phone (812) 526-0261

Other identifiers 1

IdentifierTypeStateIssuer
100193720MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address james.kozarekmd.p6@direct.ahni.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20100115000515 IN Practitioner - Family Practice 9739113903 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Wisconsin School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

201 W Main Cross St
Edinburgh, IN 46124-1346
Phone (812) 526-0261

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01035345INMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Health Network of Indiana LLC CurrentSince Aug 1, 2000 Accepting new patients
American Health Network of Indiana, LLC Family Medicine CurrentSince Aug 1, 2000 Accepting new patients
American Health Network of Indiana, LLC Family Medicine Past Accepting new patients
Major Hospital Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

201 W Main Cross St
Edinburgh, IN 46124
Phone (812) 526-0261

911 E Main Cross St
Edinburgh, IN 46124
Phone (317) 739-4895

10995 Allisonville Rd
Ste 100
Fishers, IN 46038
Phone (317) 842-7928

20 Circle Dr
Franklin, IN 46131
Phone (317) 773-0008

2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617

7440 Woodland Dr
Indianapolis, IN 46278
Phone (317) 450-3357

15397 Stony Creek Way
Ste 101
Noblesville, IN 46060

Interoperability endpoints

  • Direct secure messaging: james.kozarekmd.p6@direct.ahni.nextgenshare.com
  • Direct secure messaging: jkozarek210952@direct.optum.com

Organizations & group practices 5

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 3

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1235216763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W MAIN CROSS ST",
            "city": "EDINBURGH",
            "state": "IN",
            "postal_code": "461241346",
            "telephone_number": "812-526-0261",
            "fax_number": "812-526-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W MAIN CROSS ST",
            "city": "EDINBURGH",
            "state": "IN",
            "postal_code": "461241346",
            "telephone_number": "812-526-0261",
            "fax_number": "812-526-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZAREK",
        "first_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01035345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100193720",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "james.kozarekmd.p6@direct.ahni.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "201 W Main Cross St",
            "city": "Edinburgh",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461241346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Edinburgh, IN

Sources for this page

Verify at the official NPI Registry.