Individual provider Active NPI

Angela M Kozak, D.O.

  • Ophthalmology Physician
  • Brownsville, TX
National Provider Identifier
1285797506
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
L5421 Issued in TX
Practice address
2955 Central Blvd
Brownsville, TX 78520-8958
Phone
(956) 542-6945
Fax
(956) 546-6900
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X L5421 TX Primary

Addresses

Primary practice location

2955 Central Blvd
Brownsville, TX 78520-8958

Mailing address

2955 Central Blvd
Brownsville, TX 78520-8958
Phone (956) 542-6945

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20050203000555 TX Practitioner - Ophthalmology 6608827993 Practice locations: Brownsville, TX

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Philadelphia College of Osteopathic Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2955 Central Blvd
Brownsville, TX 78520-8958
Phone (956) 542-6945

Hospital & facility affiliations

  • Valley Baptist Medical Center- Brownsville Hospital, Brownsville, TX, CCN 450028

Merit-based Incentive Payment System (MIPS)

Final score
95.53 of 100Reported as individual
Quality
76.67
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L5421TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Cataract Institute, P.a. Ophthalmology Past Accepting new patients
Richer Enterprises Inc. Past Accepting new patients

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.

Hospital & facility affiliations 1

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285797506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2955 CENTRAL BLVD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785208958",
            "telephone_number": "956-542-6945",
            "fax_number": "956-546-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 CENTRAL BLVD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785208958",
            "telephone_number": "956-542-6945",
            "fax_number": "956-546-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZAK",
        "first_name": "ANGELA",
        "middle_name": "M",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "L5421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

Verify at the official NPI Registry.