Matthew S Kozloff, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

C55616 Issued in CA

Practice address

838 Nordahl Road
Suite 270
San Marcos, CA 92069-3596

Phone

(760) 489-5955

Fax

(760) 489-7150

NPI assigned

Feb 1, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CA

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

General SurgeryAlso: Critical Care (Intensivists)

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North County Trauma Associates Inc a Medical GroupGroup PAC ID 1759309735, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Palomar Health Downtown Campus Hospital, Escondido, CA, CCN 050115

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: northcountytraumaassociates.matthewkozloff@158576.advancedmd-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• North County Trauma Associates, Inc. a Medical Group

  • Surgery Physician
  • Escondido, CA
  • NPI 1467563791
  Medicare reassignment Care Compare group
• Oc Trauma Inc

  • Trauma Surgery Physician
  • Mission Viejo, CA
  • NPI 1720516628
  Medicare reassignment NPD
• University Surgical Associates, PSC

  • Surgery Physician
  • Louisville, KY
  • NPI 1609847367
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Palomar Health

  • General Acute Care Hospital
  • Escondido, CA
  • NPI 1457321317
  Care Compare affiliation

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512604800000",
    "number": "1801933288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2067 WINERIDGE PLACE",
            "address_2": "SUITE A",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920291952",
            "telephone_number": "760-489-5955",
            "fax_number": "760-489-7150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 NORDAHL ROAD",
            "address_2": "SUITE 270",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920693596",
            "telephone_number": "760-489-5955",
            "fax_number": "760-489-7150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZLOFF",
        "first_name": "MATTHEW",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2017-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "C55616",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME108087",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "40482",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "KY",
            "license": "40482",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "RI",
            "license": "MD12565",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "KY",
            "license": "40482",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200869360",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100005600",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "50016289",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Koraiban, RN BSN LC
• Matthew John Kosel, PA-C
• Cassandra Omara Kostendt
• George Koumaras, PHD
• Devyn Kowitz
• Ariel Krakowsky, LCSW
• Jennifer Kreider, PHARMD
• Mandy Kress, LCSW
• Anitha Krishnan, DDS
• Kyle Kropf

• Surgery Physician in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; 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.