Individual provider Active NPI

Joseph A Kozhimala, M.D

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1932182094
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
192764 Issued in NY
Practice address
1847 Bedford Ave
Brooklyn, NY 11225-5005
Phone
(718) 693-6100
NPI assigned
Nov 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 192764 NY Primary

Addresses

Primary practice location

1847 Bedford Ave
Brooklyn, NY 11225-5005

Mailing address

4672 Bedford Ave
1
Brooklyn, NY 11235-5201
Phone (718) 648-3429

Other identifiers 1

IdentifierTypeStateIssuer
01683178MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20150506000259 NY Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 0042539470

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
192764NYMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1932182094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4672 BEDFORD AVE",
            "address_2": "1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355201",
            "telephone_number": "718-648-3429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1847 BEDFORD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112255005",
            "telephone_number": "718-693-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZHIMALA",
        "first_name": "JOSEPH",
        "middle_name": "A",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "192764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01683178",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.