Michael Robert Kozlowski, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

336097 Issued in NY

Practice address

367 E Main St Ste a
Waterloo, NY 13165-1643

Phone

(315) 787-4977

NPI assigned

Mar 30, 2022

Sex

Male

Sole proprietor

Yes

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 NY

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

Specialty

Family Practice

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Geneva General Hospital Hospital, Geneva, NY, CCN 330058
• Soldiers and Sailors Memorial Hospital of Yates Hospital, Penn Yan, NY, CCN 331314

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: m.kozlowski@flhmedical.medentdirect.com

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.

• Soldiers & Sailors Memorial Hospital

  • Critical Access Hospital
  • Penn Yan, NY
  • NPI 1215044516
  Medicare reassignment NPD
• Soldiers & Sailors Memorial Hospital

  • Emergency Medicine Physician
  • Penn Yan, NY
  • NPI 1043353618
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Geneva General Hospital Inc.

  • General Acute Care Hospital
  • Geneva, NY
  • NPI 1952418352
  Care Compare affiliation
• Geneva General Hospital, Inc

  • Family Medicine Physician
  • Clyde, NY
  • NPI 1255087003

  Hospital

  Care Compare affiliation
• Soldiers & Sailors Memorial Hospital

  • Critical Access Hospital
  • Penn Yan, NY
  • NPI 1215044516
  Care Compare affiliation
• Soldiers & Sailors Memorial Hospital

  • Family Medicine Physician
  • Penn Yan, NY
  • NPI 1538708128

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1649910464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 BANK ST",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140202250",
            "telephone_number": "585-815-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 E MAIN ST STE A",
            "city": "WATERLOO",
            "state": "NY",
            "postal_code": "131651643",
            "telephone_number": "315-787-4977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZLOWSKI",
        "first_name": "MICHAEL",
        "middle_name": "ROBERT",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-30",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "336097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Killik, LMHC
• Billie Kingsbury-Lohr
• Kristina Marie Knight, RN
• Ann E Knoll, MS, LMHC
• Roberta L. Korich, N.P.
• Chersti Kate Kuhlmann
• Yecham Kumaraswamy, B.PHARM
• Kelly Marie Labouf
• Sarah Lahr
• Mary Lou Lang

• Family Medicine Physician in Waterloo, NY
• Providers in Waterloo, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.