Individual provider Active NPI

Dennis Eric Koselak, M.D.

  • Anesthesiology Physician
  • Bradenton, FL
National Provider Identifier
1386607919
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME80905 Issued in FL
Practice address
2010 59TH St W
Ste 5600
Bradenton, FL 34209-4686
Phone
(941) 798-3524
NPI assigned
Apr 6, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME80905 FL Primary

Addresses

Primary practice location

2010 59TH St W
Ste 5600
Bradenton, FL 34209-4686

Mailing address

PO Box 552106
Tampa, FL 33655-0001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, VA2 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
I20040813000742 FL Practitioner - AnesthesiologyPractitioner - Emergency Medicine 5395718837 Reassigns benefits to 2 organizations
I20190513000371 VA Practitioner - Anesthesiology 5395718837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of South Florida College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Anesthesia Solutions of Florida II, LLCGroup PAC ID 7911323720, 327 clinicians

Practice addresses (Care Compare)

200 Ave F NE
Winter Haven, FL 33881-4131
Phone (863) 293-1121

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME80905FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Dynamics LLC Anesthesiology CurrentSince Oct 1, 2020 Accepting new patients
Medstream Anesthesia PLLC Anesthesiology CurrentSince Apr 10, 2019 Accepting new patients
Capital Anesthesia Solutions of Florida II, LLC Anesthesiology CurrentSince Apr 1, 2023 Accepting new patients
Lakewood Ranch Anesthesia PL Anesthesiology CurrentSince Jan 1, 2021 Accepting new patients
West Florida Cardiac Anesthesia Services LLC Anesthesiology PastSince Jul 17, 2013 Accepting new patients
Carrollwood Emergency Physicians PA Past Accepting new patients
Franklin, Favata & Hulls, MD's, PA Past Accepting new patients
West Florida Trauma Network, LLC PastSince Jan 20, 2019 Accepting new patients

Locations

3220 N St NW
Washington, DC 20007
Phone (202) 338-6051

200 3rd Ave W
Ste 170
Bradenton, FL 34205
Phone (941) 782-5434

2020 59th St W
Bradenton, FL 34209
Phone (813) 798-6303

206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202

411 2nd St E
Bradenton, FL 34208
Phone (941) 746-1121

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

8300 Collier Blvd
Naples, FL 34114
Phone (239) 354-6000

540 The Rialto
Venice, FL 34285
Phone (866) 481-2553

200 Avenue F NE
Winter Haven, FL 33881
Phone (863) 292-4652

200 Hospital Dr
Galax, VA 24333
Phone (276) 236-6011

6801 Governor Gc Peery Hwy
Richlands, VA 24641
Phone (276) 523-8600

Organizations & group practices 8

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 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": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1386607919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 552106",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336550001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 59TH ST W",
            "address_2": "STE 5600",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342094686",
            "telephone_number": "941-798-3524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSELAK",
        "first_name": "DENNIS",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME80905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.