Olivia Alexandra Kozel, MD
Individual provider Active NPI Surgery Physician · Grand Forks, ND
NPI 1689375768 · NPPES record last updated May 12, 2025
Key facts
- NPI
- 1689375768
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- RL22452 (ND)
- Practice address
- 1301 N Columbia Rd Stop 9037
Grand Forks, ND 58202-9037 - Phone
- (701) 777-3069
- NPI assigned
- Mar 15, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250822003592 | ND | Order and Referring Only - General Surgery |
3870093966 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RL22452 | ND | MD | Surgery Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | RL22452 | ND | Yes |
Addresses
Primary practice location
1301 N Columbia Rd Stop 9037
Grand Forks, ND 58202-9037
Mailing address
1301 N Columbia Rd Stop 9037
Grand Forks, ND 58202-9037
Phone (701) 777-3069
Other providers in Grand Forks, ND
- Jeanine E. Kotschwar
- Mara Kotzbacher
- Jessica Kovsky
- Kaila Ann Kowalski
- Lynn Marie Kowalski
- April Mae Kraemer
- Casey Kramer
- Denise Carol Kramer
- Summer Kraska
- Natasha Marie Krebs
All providers in Grand Forks, ND · Surgery Physician in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.