Individual provider Active NPI

Alexander Kobzik

  • Critical Care Medicine (Internal Medicine) Physician
  • Dayton, OH
National Provider Identifier
1629344312
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
35135669 Issued in OH
Practice address
1520 S Main St Ste 2
Dayton, OH 45409-2699
Phone
(937) 461-5815
Fax
(937) 461-2896
NPI assigned
Mar 27, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X 35135669 OH Primary

Addresses

Primary practice location

1520 S Main St Ste 2
Dayton, OH 45409-2699

Mailing address

1520 S Main St Ste 2
Dayton, OH 45409-2699
Phone (937) 461-5815

Other practice location 1

730 W Market St
Lima, OH 45801-4602
Phone (419) 226-4310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20190607000327 OH Practitioner - Critical Care (Intensivists) 8628393857 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)
Education
Tufts University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pulmonary and Critical Care Consultants, IncGroup PAC ID 9234115379, 34 clinicians
Mercy Health Physicians Lima Specialty Care LLCGroup PAC ID 7012332364, 254 clinicians

Practice addresses (Care Compare)

1520 S Main St
Suite 2
Dayton, OH 45409-2643
Phone (937) 461-5815

730 W Market St
Lima, OH 45801-4602
Phone (419) 227-3361

Hospital & facility affiliations

  • Miami Valley Hospital Hospital, Dayton, OH, CCN 360051
  • Mercy Health St Ritas Medical Center Hospital, Lima, OH, CCN 360066
  • Wilson Memorial Hospital Hospital, Sidney, OH, CCN 360013

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35135669OHMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Lima Specialty Care LLC Multi-Specialty CurrentSince Jul 19, 2024 Accepting new patients
Pulmonary & Critical Care Consultants, Inc Multi-Specialty CurrentSince Jul 20, 2019 Accepting new patients
Usacs Critical Care Medicine Services of Ohio, LLC Multi-Specialty CurrentSince Oct 20, 2023 Accepting new patients
Upmc Community Medicine, Inc Multi-Specialty Current Accepting new patients
Miami Valley Hospital Multi-Specialty Past Accepting new patients

Locations

1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636

1520 S Main St
Ste 2
Dayton, OH 45409
Phone (937) 461-5815

2300 Miami Valley Dr
Ste 370
Dayton, OH 45459
Phone (937) 461-5815

830 W High St
Ste 390
Lima, OH 45801
Phone (419) 995-4960

730 W Market St
Lima, OH 45801
Phone (419) 226-4310

100 Medical Center Dr
Springfield, OH 45504
Phone (937) 523-1000

3130 N County Road 25A
Troy, OH 45373
Phone (937) 440-4000

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

Interoperability endpoints

  • Direct secure messaging: akobzik2458139@direct.bsmhealth.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1332806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1629344312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 S MAIN ST STE 2",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454092699",
            "telephone_number": "937-461-5815",
            "fax_number": "937-461-2896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 S MAIN ST STE 2",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454092699",
            "telephone_number": "937-461-5815",
            "fax_number": "937-461-2896"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "730 W Market St",
            "address_purpose": "LOCATION",
            "city": "Lima",
            "state": "OH",
            "postal_code": "458014602",
            "country_code": "US",
            "telephone_number": "419-226-4310",
            "fax_number": "419-226-4315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOBZIK",
        "first_name": "ALEXANDER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-27",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "OH",
            "license": "35135669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.