Active NPI
Victoria Kogan, MD
- Hospitalist Physician
- Fort Madison, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- ME118206
- Practice address
- 5409 Avenue O
Fort Madison, IA 52627-9601 - Phone
- (319) 376-2134
- Fax
- (319) 376-2188
- NPI assigned
- Sep 11, 2009
- Last updated
- Sep 19, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 254723 | NY | |
| Internal Medicine Physician | 207R00000X | ME118206 | FL | |
| Hospitalist Physician | 208M00000X | ME118206 | FL | Primary |
Addresses
Primary practice location
5409 Avenue O
Fort Madison, IA 52627-9601
Mailing address
5409 Avenue O
PO Box 1470
Fort Madison, IA 52627-9601
Phone (319) 376-2134
Other practice location 1
1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-1771
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116073200 | Medicaid | FL | |
| 511790005 | Other | IA | WELLMARK/ BLUE CROSS/ BLUE SHIELD |
| V5472 | Other | FL | HFMG |
| 1730412412 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-1401
1425 Malabar Rd NE
Palm Bay, FL 32907-2506
Phone (321) 434-8121
699 W Cocoa Beach Cswy
Cocoa Beach, FL 32931-3562
701 W Cocoa Beach Cswy
Cocoa Beach, FL 32931-3585
Phone (321) 799-7128
8745 N Wickham Rd
Melbourne, FL 32940-5997
Phone (321) 434-5162
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.07 of 100
- Quality
- 62.54
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 72.7
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 254723 | NY | MD | Internal Medicine Physician |
| 29208 | NE | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Altea Medical Florida PLLC | Internal Medicine | Current | Accepting new patients |
| Regional West Physicians Clinic | Internal Medicine | Current | Accepting new patients |
| Rockledge Physician Services, LLC | Hospitalist | Current | Accepting new patients |
| Post Acute Medical PLLC | Internal Medicine | Current | Accepting new patients |
| Southeast Iowa Regional Medical Center, Inc. | Past | Accepting new patients |
Locations
400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297
400 E Rivulon Blvd
Ste 301
Gilbert, AZ 85297
7225 Boca del Mar Dr
Boca Raton, FL 33433
Phone (561) 362-9644
1104 N Main St
Bushnell, FL 33513
Phone (352) 568-8777
1851 Elkcam Blvd
Deltona, FL 32725
Phone (386) 789-3769
1010 Carpenters Way
Lakeland, FL 33809
Phone (813) 505-8889
991 Pondella Rd
North Ft Myers, FL 33903
Phone (239) 994-8809
190 NE 191st St
North Miami Beach, FL 33179
Phone (305) 651-9690
110 Longwood Ave
Rockledge, FL 32955
Phone (321) 452-9799
4641 Old Canoe Creek Rd
Saint Cloud, FL 34769
Phone (407) 892-1977
3911 Avenue B
Ste 1100
Scottsbluff, NE 69361
Phone (308) 630-1355
3911 Avenue B
Ste G200
Scottsbluff, NE 69361
Phone (308) 630-1355
4021 Avenue B
Scottsbluff, NE 69361
Phone (308) 630-1384
Interoperability endpoints
- vkogan160823@epicdirect.hf.org
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.
-
- General Practice Physician
- Melbourne, FL
- NPI 1750626495
-
- Geriatric Medicine (Internal Medicine) Physician
- Saint Cloud, FL
- NPI 1083493860
-
- Geriatric Medicine (Internal Medicine) Physician
- Lanham, MD
- NPI 1730713025
FL
-
- Family Medicine Physician
- Scottsbluff, NE
- NPI 1306910534
Internal Medicine
-
- Hospitalist Physician
- Rockledge, FL
- NPI 1538523295
-
dba Southeast Iowa Regional Medical Center
- General Practice Physician
- West Burlington, IA
- NPI 1164433884
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cocoa Beach, FL
- NPI 1184691610
-
dba Palm Bay Hospital
- General Acute Care Hospital
- Palm Bay, FL
- NPI 1386940823
-
dba First Flight
- Air Ambulance
- Melbourne, FL
- NPI 1235312281
Hospital
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1295702728
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1730494816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758240000000",
"number": "1730412412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5409 AVENUE O",
"address_2": "PO BOX 1470",
"city": "FORT MADISON",
"state": "IA",
"postal_code": "526279601",
"telephone_number": "319-376-2134",
"fax_number": "319-376-2188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5409 AVENUE O",
"city": "FORT MADISON",
"state": "IA",
"postal_code": "526279601",
"telephone_number": "319-376-2134",
"fax_number": "319-376-2188"
}
],
"practiceLocations": [
{
"address_1": "1350 Hickory St",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329013224",
"country_code": "US",
"telephone_number": "321-434-1771",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOGAN",
"first_name": "VICTORIA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-11",
"last_updated": "2025-09-19",
"certification_date": "2025-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "254723",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME118206",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "ME118206",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "116073200",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK/ BLUE CROSS/ BLUE SHIELD",
"identifier": "511790005",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HFMG",
"identifier": "V5472",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1730412412",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Madison, IA
- James G Kannenberg, M.D.
- Lindsay Nicole Kelly, PA-C
- Kensington Fort Madison, LLC
- Steve Knight, CRNA
- Samantha Knott, DPT
- Paul Scot Kunch, D.D.S.
- L.D Peck,PC (Fort Madiosn Eye Clinic)
- Vishaun Lawrence, FNP
- Lee County Auditor (Lee County Health Department)
- Lee County Auditor (Lee County Health Department)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.