Active NPI
Michael Kozower, M.D.
- Gastroenterology Physician
- Williamsville, NY
National Provider Identifier
1396721551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 103470
- Practice address
- 60 Maple Rd
Ste 1
Williamsville, NY 14221-2917 - Phone
- (716) 626-5250
- Fax
- (716) 332-2218
- NPI assigned
- Dec 20, 2005
- Last updated
- Dec 9, 2013
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 103470 | NY | Primary |
Addresses
Primary practice location
60 Maple Rd
Ste 1
Williamsville, NY 14221-2917
Mailing address
60 Maple Rd
Ste 1
Williamsville, NY 14221-2917
Phone (716) 626-5250
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00614122 | Medicaid | NY | |
| 040426000384 | Other | NY | FIDELIS |
| 2400515 | Other | NY | GHI |
| 00010094701 | Other | NY | UNIVERA |
| 2300577 | Other | NY | INDEPENDENT HEALTH |
| 100012917 | Other | NY | RAILROAD MEDICARE |
| 153008BT | Other | NY | PREFERRED CARE |
| 000506316001 | Other | NY | BLUE CROSS OG WNY |
| 4273559 | Other | NY | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastrointestinal Group | Gastroenterology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Gastroenterology Physician
- Rochester, NY
- NPI 1114977048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386547200000",
"number": "1396721551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 MAPLE RD",
"address_2": "STE 1",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142212917",
"telephone_number": "716-626-5250",
"fax_number": "716-332-2218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 MAPLE RD",
"address_2": "STE 1",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142212917",
"telephone_number": "716-626-5250",
"fax_number": "716-332-2218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOZOWER",
"first_name": "MICHAEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-20",
"last_updated": "2013-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NY",
"license": "103470",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00614122",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "040426000384",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "2400515",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00010094701",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "2300577",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "100012917",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "153008BT",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OG WNY",
"identifier": "000506316001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4273559",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Williamsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.