Richard T Kozakiewicz, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

MD060641L Issued in PA

Practice address

120 Village Dr
Greensburg, PA 15601-3707

Phone

(724) 836-7590

Fax

(724) 836-7570

NPI assigned

Jun 21, 2006

Last updated

Jul 15, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Physical Medicine and Rehabilitation

Education

Pennsylvania State University College of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rkozakiewicz@direct.excelahealth.org

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.

• Pennsylvania Physical Medicine Inc

  • Physical Medicine & Rehabilitation Physician
  • Greensburg, PA
  • NPI 1679506752
  Medicare reassignment NPD
• Windber Hospital, Inc.

  dba Windber Medical Center

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1275579864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 VILLAGE DR",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156013707",
            "telephone_number": "724-836-7590",
            "fax_number": "724-836-7570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 VILLAGE DR",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156013707",
            "telephone_number": "724-836-7590",
            "fax_number": "724-836-7570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZAKIEWICZ",
        "first_name": "RICHARD",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD060641L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01643678",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rkozakiewicz@direct.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "RK Direct PF",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "120 Village Dr",
            "city": "Greensburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "156013707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Petros Kopterides, M.D.
• Daniel Leonard Kotik, PT, DPT
• Del Kovacevic, DMD
• Mary Elizabeth Kovacik Eicher, M.D.
• Stephan Kowalyk, M.D.
• Jessica Ellen Kozar, OT
• Kraisinger Family Dentistry
• Paul James Kraisinger, DMD
• Jacquelyn Hope Kramer, OTD, OTR/L
• Kreinbrook Psychologica Services

• Physical Medicine & Rehabilitation Physician in Greensburg, PA
• Providers in Greensburg, PA by specialty
• Physical Medicine & Rehabilitation Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; 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.