Heidi Kozic, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD432113 Issued in PA

Practice address

101 Chesley Dr Ste 100
Media, PA 19063-1799

Phone

(610) 566-7111

Fax

(610) 891-6735

NPI assigned

May 15, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

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

Micrographic Dermatologic Surgery (MDS)Also: Dermatology

Education

Jefferson Medical College of Thomas Jefferson University, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology LTDGroup PAC ID 0244120756, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

82.71 of 100Reported as group

Quality

70.4

Promoting interoperability

91

Improvement activities

40

Cost

79.48

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Dermatology LTD

  • Dermatology Physician
  • Media, PA
  • NPI 1477508257
  Medicare reassignment Care Compare group NPD
• Delaware Center for Digestive Care LLC

  • Gastroenterology Physician
  • Newark, DE
  • NPI 1558722561
  NPD (past)

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1750597654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CHESLEY DR STE 100",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190631799",
            "telephone_number": "610-566-7111",
            "fax_number": "610-891-6735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CHESLEY DR STE 100",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190631799",
            "telephone_number": "610-566-7111",
            "fax_number": "610-891-6735"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1788 Wilmington W Chester Pike Ste 2200",
            "address_purpose": "LOCATION",
            "city": "Glen Mills",
            "state": "PA",
            "postal_code": "193428203",
            "country_code": "US",
            "telephone_number": "610-566-7111",
            "fax_number": "610-891-6735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOZIC",
        "first_name": "HEIDI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "DE",
            "license": "C1-0008613",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD432113",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MT181819",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102055628",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0351610",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tricia Louise Korenkiewicz, OD
• William Noah Kornberg, D.O.
• Lauren Marie Kossler, M.ED
• John A Kotyo, MD
• Anastassios Koussis, DDS
• Tanya Ann Kozuch, CRNP
• Thomas Krakower, D.M.D.
• John Krall, LCSW
• Sandra Sue Kramer, MD
• Jillian Kratz, RBT

• Dermatology Physician in Media, PA
• Providers in Media, PA by specialty
• Dermatology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; 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.