Active NPI
Joseph S. Kozlowski Jr., D.O.
- Family Medicine Physician
- Lansing, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101007058
- Practice address
- 1003 E Mount Hope Ave
Lansing, MI 48910-1822 - Phone
- (517) 853-3704
- Fax
- (517) 853-3701
- NPI assigned
- Jan 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101007058 | MI | Primary |
Addresses
Primary practice location
1003 E Mount Hope Ave
Lansing, MI 48910-1822
Mailing address
1003 E Mount Hope Ave
Lansing, MI 48910-1822
Phone (517) 853-3704
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 853338574 | Other | MI | BCBS |
| 1366420432 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101007058 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Internal Medicine Associates P.C. | Family Medicine | Current | Accepting new patients |
| Healthtexas Provider Network | Family Medicine | Past | Accepting new patients |
Locations
2815 S Pennsylvania Ave
Ste 2
Lansing, MI 48910
Phone (517) 367-5740
2815 S Pennsylvania Ave
Ste 204
Lansing, MI 48910
Phone (517) 267-0200
1003 E Mount Hope Ave
Lansing, MI 48910
Phone (517) 853-3704
3955 Patient Care Dr
Ste A
Lansing, MI 48911
Phone (517) 374-7600
2727 S Pennsylvania Ave
Lansing, MI 48910
Phone (517) 975-3750
3955 Patient Care Dr
Lansing, MI 48911
Phone (517) 374-7600
Interoperability endpoints
- josephkozlowski@ccmedc.allscriptsdirect.net
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.
-
- Internal Medicine Physician
- Lansing, MI
- NPI 1780629832
Family Medicine
-
- Family Medicine Physician
- Plano, TX
- NPI 1003811639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440720000000",
"number": "1366420432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1003 E MOUNT HOPE AVE",
"city": "LANSING",
"state": "MI",
"postal_code": "489101822",
"telephone_number": "517-853-3704",
"fax_number": "517-853-3701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 E MOUNT HOPE AVE",
"city": "LANSING",
"state": "MI",
"postal_code": "489101822",
"telephone_number": "517-853-3704",
"fax_number": "517-853-3701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOZLOWSKI",
"first_name": "JOSEPH",
"middle_name": "S.",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-09",
"last_updated": "2015-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101007058",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "853338574",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1366420432",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.