Maria N Kossak, D.O.

Primary specialty

Obstetrics PhysicianTaxonomy code 207VX0000X

License

5101010416 Issued in MI

Practice address

22074 Michigan Ave
Dearborn, MI 48124-2353

Phone

(313) 565-9510

Fax

(313) 565-4410

NPI assigned

Jun 13, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1821292723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 WAGNER CT",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242223",
            "telephone_number": "313-562-4037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22074 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242353",
            "telephone_number": "313-565-9510",
            "fax_number": "313-565-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSSAK",
        "first_name": "MARIA",
        "middle_name": "N",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MI",
            "license": "5101010416",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "MI",
            "license": "5101010416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4318019",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan N Kopietz
• Rochelle Kopka, DPT
• Kellie Patricia Kornmiller, AU.D.
• Kelsey Ann Koss, DO
• Mary Kay Koss, RD, CDE
• Delnese M Kostrzewa, RPH
• Shanty Alex Kottoor
• Layla Kouatli
• Hassan Koubayssi
• Alaa Kouider

• Obstetrics Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Obstetrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.