Individual provider Active NPI

Justin Andrew Koceja, MD

  • Otolaryngology Physician
  • Phoenix, AZ
National Provider Identifier
1891363214
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
78228 Issued in AZ
Practice address
1010 E McDowell Rd Ste 200
Phoenix, AZ 85006-2608
Phone
(602) 956-1250
Fax
(602) 956-7466
NPI assigned
Jun 13, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 78228 AZ Primary
Otolaryngology Physician 207Y00000X BP10077014 TX

Addresses

Primary practice location

1010 E McDowell Rd Ste 200
Phoenix, AZ 85006-2608

Mailing address

1010 E McDowell Rd Ste 206
Phoenix, AZ 85006-2608
Phone (602) 956-1250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20260204001256 AZ Practitioner - Otolaryngology 0143621086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Texas Medical School at San Antonio, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1010 E McDowell Rd
Suite 206
Phoenix, AZ 85006-2608

301 University Blvd
Galveston, TX 77555-1022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
BP10077014TXMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Biltmore Ear Nose and Throat, PC Otolaryngology CurrentSince Jan 1, 2026 Accepting new patients
Biltmore Ear Nose and Throat, PC PastSince Jan 1, 2026 Accepting new patients

Locations

4400 N 32nd St
Ste 220
Phoenix, AZ 85018
Phone (480) 848-7030

1010 E McDowell Rd
Ste 200
Phoenix, AZ 85006
Phone (602) 601-7752

1010 E McDowell Rd
Ste 206
Phoenix, AZ 85006
Phone (330) 518-5329

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1623542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1891363214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 E MCDOWELL RD STE 206",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062608",
            "telephone_number": "602-956-1250",
            "fax_number": "602-956-7466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 E MCDOWELL RD STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062608",
            "telephone_number": "602-956-1250",
            "fax_number": "602-956-7466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCEJA",
        "first_name": "JUSTIN",
        "middle_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-13",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "AZ",
            "license": "78228",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "BP10077014",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.