NPIMap

Individual provider Active NPI

Christopher Richard Koziara, M.D.

  • Orthopaedic Surgery Physician
  • Saint Clair Shores, MI
National Provider Identifier
1659638047
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
4301101394 Issued in MI
Practice address
24715 Little Mack Ave Ste 100
Saint Clair Shores, MI 48080-3207
Phone
(586) 779-7970
Fax
(586) 779-7748
NPI assigned
Apr 23, 2012
Last updated
Nov 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 4301101394 MI Primary

Addresses

Primary practice location

24715 Little Mack Ave Ste 100
Saint Clair Shores, MI 48080-3207

Mailing address

24715 Little Mack Ave Ste 100
Saint Clair Shores, MI 48080-3207
Phone (586) 779-7970

Other practice location 1

10000 Telegraph Rd
Taylor, MI 48180-3330
Phone (313) 375-7225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170809000967 MI Practitioner - Orthopedic Surgery 8820369853 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Wayne State University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Institute of Michigan PLLCGroup PAC ID 5496651879, 3 clinicians

Practice addresses (Care Compare)

39000 7 Mile Rd
Livonia, MI 48152-1006
Phone (734) 464-0400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Allegan Inc Current Accepting new patients
Orthodetroit PLLC Orthopaedic Surgery Current Accepting new patients
Orthopedic Institute of Michigan PLLC Orthopaedic Surgery CurrentSince Dec 14, 2025 Accepting new patients
Ascension Borgess Allegan Hospital CurrentSince Aug 1, 2018 Accepting new patients
Beacon Allegan Inc CurrentSince Aug 1, 2018 Accepting new patients
Orthopedic Institute of Michigan PLLC Past Accepting new patients

Locations

551 Linn St
Ste 220
Allegan, MI 49010
Phone (269) 573-5571

555 Linn St
Allegan, MI 49010
Phone (269) 673-8424

39000 7 Mile Rd
Ste 2500
Livonia, MI 48152
Phone (734) 462-5858

24715 Little Mack Ave
Ste 100
St Clr Shores, MI 48080
Phone (586) 779-2585

Interoperability endpoints

  • Direct secure messaging: christopher.koziara.p1@direct.alleganfamilyhealth.nextgenshare.com
  • Direct secure messaging: ckoziara438854@direct.hfhs.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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.

Hospital & facility affiliations 9

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": "1335139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1659638047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24715 LITTLE MACK AVE STE 100",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480803207",
            "telephone_number": "586-779-7970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24715 LITTLE MACK AVE STE 100",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480803207",
            "telephone_number": "586-779-7970",
            "fax_number": "586-779-7748"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10000 Telegraph Rd",
            "address_purpose": "LOCATION",
            "city": "Taylor",
            "state": "MI",
            "postal_code": "481803330",
            "country_code": "US",
            "telephone_number": "313-375-7225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOZIARA",
        "first_name": "CHRISTOPHER",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-23",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301101394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

Verify at the official NPI Registry.