Active NPI
Stanislawa Krystyna Koczorowska, MD
- Internal Medicine Physician
- Kendallville, IN
National Provider Identifier
1427067651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01033960
- Practice address
- 727 E North St
Kendallville, IN 46755-1225 - Phone
- (260) 343-0797
- Fax
- (260) 343-0799
- NPI assigned
- Aug 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01033960 | IN | Primary |
Addresses
Primary practice location
727 E North St
Kendallville, IN 46755-1225
Mailing address
PO Box 727
Kendallville, IN 46755-0727
Phone (260) 343-0797
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7275 | Other | PHP | |
| 000000093825 | Other | BLUE SHIELD | |
| 87726 | Other | UNITED HEALTH CARE |
Other names 1
- Margaret K Koczorowska
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090514000585 | IN | Practitioner - Internal Medicine | 9032268404 | Practice locations: Kendallville, IN |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1427067651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 727",
"city": "KENDALLVILLE",
"state": "IN",
"postal_code": "467550727",
"telephone_number": "260-343-0797",
"fax_number": "260-343-0799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "727 E NORTH ST",
"city": "KENDALLVILLE",
"state": "IN",
"postal_code": "467551225",
"telephone_number": "260-343-0797",
"fax_number": "260-343-0799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOCZOROWSKA",
"first_name": "STANISLAWA",
"middle_name": "KRYSTYNA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01033960",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP",
"identifier": "7275",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "000000093825",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "87726",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARGARET",
"last_name": "KOCZOROWSKA",
"middle_name": "K",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Kendallville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.