Travis Michael Kozak, MD, MBA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

2026-01980 Issued in NC

Practice address

6010 Carnegie Blvd
Charlotte, NC 28209-4637

Phone

(704) 384-9966

NPI assigned

May 8, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration, Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: tkozak767738@direct.vumc.org

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1528758190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6010 CARNEGIE BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282094637",
            "telephone_number": "704-384-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 CARNEGIE BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282094637",
            "telephone_number": "704-384-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZAK",
        "first_name": "TRAVIS",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-08",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2026-01980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita Kovalev
• Marilyn Burton Kowalchuk, RD, SCD, LDN
• Anna Kowalczyk-Kim, MD
• Brinda Koya, MD
• Alesha Renee Kozak, M.S. CCC-SLP
• Dawn Marie Kozlowski, PA-C
• Matthew Scott Kozlowski, M.D.
• Vina Sananikone Kozusko, NP
• Jennifer A. Kraay, PT
• Taylor M Kracht

• Pediatrics Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.

Verify at the official NPI Registry.