Active NPI
Nataliya Petrovna Kozodoy, M.D.
- Critical Care Medicine (Internal Medicine) Physician
- Yuma, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 54902
- Practice address
- 2400 S Avenue a
Yuma, AZ 85364-7170 - Phone
- (928) 344-2000
- NPI assigned
- Apr 15, 2011
- Last updated
- Dec 9, 2024
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | |||
| General Acute Care Hospital | 282N00000X | 036.132693 | IL | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 54902 | AZ | Primary |
Addresses
Primary practice location
2400 S Avenue a
Yuma, AZ 85364-7170
Mailing address
13215 2ND Ave South
Seattle, WA 98168
Phone (206) 604-7887
Other practice location 1
3000 Arlington Ave # MS 1050
Graduate Medical Education
Toledo, OH 43614-2595
Phone (419) 383-4244
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, TN
- 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
- Pulmonary Disease
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2400 S Ave a
Yuma, AZ 85364-7127
Phone (928) 344-2000
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.132693 | IL | MD | General Acute Care Hospital |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Tennessee Healthcare Hospitalists Inc | Hospitalist | Current | Accepting new patients |
| Springfield Clinic LLP | Current | Accepting new patients | |
| Yuma Regional Medical Center | Current | Accepting new patients | |
| Yuma Regional Medical Center | General Acute Care Hospital | Current | Accepting new patients |
Locations
2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100
620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923
1804 Highway 45 Byp
Ste 604
Jackson, TN 38305
Phone (731) 512-1273
Interoperability endpoints
- nataliyakozodoy@sfc.allscriptsdirect.net
Organizations & group practices 4
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.
-
dba Onvida Health Yuma Medical Center
- General Acute Care Hospital
- Yuma, AZ
- NPI 1194706655
-
- Hospitalist Physician
- Jackson, TN
- NPI 1720635188
-
dba Onvida Health Yuma Medical Center
- General Practice Physician
- Yuma, AZ
- NPI 1598993420
-
- Multi-Specialty Clinic/Center
- Springfield, IL
- NPI 1215974415
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Onvida Health Yuma Medical Center
- General Acute Care Hospital
- Yuma, AZ
- NPI 1194706655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733702400000",
"number": "1750671335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13215 2ND AVE SOUTH",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98168",
"telephone_number": "206-604-7887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 S AVENUE A",
"city": "YUMA",
"state": "AZ",
"postal_code": "853647170",
"telephone_number": "928-344-2000"
}
],
"practiceLocations": [
{
"address_1": "3000 Arlington Ave # MS 1050",
"address_2": "Graduate Medical Education",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436142595",
"country_code": "US",
"telephone_number": "419-383-4244",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOZODOY",
"first_name": "NATALIYA",
"middle_name": "PETROVNA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-15",
"last_updated": "2024-12-09",
"certification_date": "2024-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "IL",
"license": "036.132693",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "AZ",
"license": "54902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.