Individual provider Active NPI

Scott H. Kozin, M.D.

  • Surgery Physician
  • Philadelphia, PA
National Provider Identifier
1578537775
Registry record updated Oct 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD039203-E Issued in PA
Practice address
3551 N Broad St
Philadelphia, PA 19140-4105
Phone
(215) 430-4022
Fax
(215) 430-4079
NPI assigned
Feb 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD039203-E PA Primary

Addresses

Primary practice location

3551 N Broad St
Philadelphia, PA 19140-4105

Mailing address

Shriners Hospital for Children Philadelphia
Lockbox #7642 - PO Box 8500
Philadelphia, PA 19178-0001
Phone (813) 281-8478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20140917000970 PA Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 4183843568 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD039203-EPAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shriners Hospitals for Children CurrentSince Jun 28, 2014 Accepting new patients
Shriners Hospitals for Children CurrentSince Jun 28, 2014 Accepting new patients
Shriners Hospitals for Children Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

3551 N Broad St
Philadelphia, PA 19140
Phone (215) 430-4000

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476057600000",
    "number": "1578537775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SHRINERS HOSPITAL FOR CHILDREN PHILADELPHIA",
            "address_2": "LOCKBOX #7642 - PO BOX 8500",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191780001",
            "telephone_number": "813-281-8478",
            "fax_number": "813-281-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191404105",
            "telephone_number": "215-430-4022",
            "fax_number": "215-430-4079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZIN",
        "first_name": "SCOTT",
        "middle_name": "H.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2016-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD039203-E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.