Individual provider Active NPI

Joseph Michael Koza, M.D.

  • Emergency Medicine Physician
  • Dallas, TX
National Provider Identifier
1316130040
Registry record updated Nov 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
FTL41872 Issued in TX
Practice address
7515 Greenville Ave
Suite 710
Dallas, TX 75231-3831
Phone
(972) 863-6100
Fax
(281) 209-8930
NPI assigned
Aug 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X FTL41872 TX Primary
Emergency Medicine Physician 207P00000X N0903 TX

Addresses

Primary practice location

7515 Greenville Ave
Suite 710
Dallas, TX 75231-3831

Mailing address

301 University Blvd
RT 1022
Galveston, TX 77555-5302
Phone (409) 772-2222

Other identifiers 4

IdentifierTypeStateIssuer
187289704MedicaidTX
1316130040OtherTXTRICARE
8BZ141OtherTXBLUE CROSS BLUE SHIELD OF TEXAS
P00697292OtherTXRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MO2 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

Enrollment IDStateProvider typePAC IDDetails
I20070917000364 TX Practitioner - Emergency Medicine 8921192360 Reassigns benefits to 3 organizations
I20181215000520 MO Practitioner - Emergency Medicine 8921192360 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
FTL41872TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Luke'S Hospital of Trenton Emergency Medicine CurrentSince Feb 18, 2021 Accepting new patients
Saint Lukes Hospital of Chillicothe CurrentSince Feb 5, 2021 Accepting new patients
Saint Luke'S Hospital of Trenton CurrentSince Feb 18, 2021 Accepting new patients
Integrative Emergency Services Physician Group-Houston PLLC Emergency Medicine CurrentSince Feb 17, 2022 Accepting new patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Saint Luke'S Hospital of Trenton Current Accepting new patients
Saint Lukes Hospital of Chillicothe Emergency Medicine CurrentSince Feb 5, 2021 Accepting new patients
Barrier Reef Emergency Physicians PLLC Emergency Medicine CurrentSince Oct 15, 2009 Accepting new patients
Emergency Medicine Services of Mo, LLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Texas Emergency Room Services PA Emergency Medicine Past Accepting new patients
Greater Houston Emergency Physicians PLLC Emergency Medicine Past Accepting new patients
Singleton Associates PA Past Accepting new patients

Locations (25 of 41)

2799 N Washington St
Chillicothe, MO 64601
Phone (660) 214-8300

19600 E 39th St S
Independence, MO 64057
Phone (816) 698-7000

6675 Holmes Rd
Kansas City, MO 64131
Phone (816) 276-7000

2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360

6601 Rockhill Rd
Kansas City, MO 64131
Phone (816) 276-7000

2100 SE Blue Pkwy
Lees Summit, MO 64063
Phone (816) 282-5175

191 Iowa Blvd
Trenton, MO 64683
Phone (660) 358-5700

403 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 474-2500

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

2860 S Gordon St
Alvin, TX 77511
Phone (218) 968-7500

1103 E Houston St
Cleveland, TX 77327
Phone (281) 593-8350

504 Medical Center Blvd
Conroe, TX 77304
Phone (936) 539-1111

7101 S Padre Island Dr
Corpus Christi, TX 78412
Phone (361) 761-1400

3315 S Alameda St
Corpus Christi, TX 78411
Phone (361) 761-1400

13725 Northwest Blvd
Corpus Christi, TX 78410
Phone (361) 241-4243

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

301 University Blvd
#1022
Galveston, TX 77555
Phone (409) 772-0848

6191 E Sam Houston Pkwy N
#B
Houston, TX 77049
Phone (713) 295-5300

9711 N Sam Houston Pkwy E
Humble, TX 77396
Phone (281) 441-6520

540 Interstate 45 S
Ste E
Huntsville, TX 77340
Phone (936) 755-8288

1905 E State Highway 97
Jourdanton, TX 78026
Phone (210) 614-9603

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000

1201 W Frank Ave
Lufkin, TX 75904
Phone (936) 634-8111

Interoperability endpoints

  • FHIR API: https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447632000000",
    "number": "1316130040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD",
            "address_2": "RT 1022",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775555302",
            "telephone_number": "409-772-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7515 GREENVILLE AVE",
            "address_2": "SUITE 710",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313831",
            "telephone_number": "972-863-6100",
            "fax_number": "281-209-8930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZA",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-27",
        "last_updated": "2015-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "FTL41872",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "N0903",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187289704",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "1316130040",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF TEXAS",
            "identifier": "8BZ141",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00697292",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.