Individual provider Active NPI

Victoria Kogan, MD

  • Hospitalist Physician
  • Fort Madison, IA
National Provider Identifier
1730412412
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
ME118206 Issued in FL
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
116073200MedicaidFL
511790005OtherIAWELLMARK/ BLUE CROSS/ BLUE SHIELD
V5472OtherFLHFMG
1730412412MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141008000203 FL Practitioner - Internal MedicinePractitioner - Hospitalist 0143354613 Reassigns benefits to 4 organizations
I20160627001408 NE Practitioner - HospitalistPractitioner - Internal Medicine 0143354613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health First Medical Group, LLCGroup PAC ID 7416100672, 701 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
254723NYMDInternal Medicine Physician
29208NEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Altea Medical Florida PLLC Internal Medicine CurrentSince Aug 19, 2025 Accepting new patients
Regional West Physicians Clinic Internal Medicine CurrentSince May 17, 2016 Accepting new patients
Rockledge Physician Services, LLC Hospitalist CurrentSince Feb 6, 2023 Accepting new patients
Post Acute Medical PLLC Internal Medicine CurrentSince Aug 19, 2025 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 5

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": "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

Sources for this page

Verify at the official NPI Registry.