Individual provider Active NPI

Christina Ann Kozlovski, M.D.

  • Internal Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1992168603
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2026039802 Issued in MO
Practice address
20 Archbishop May Dr
Saint Louis, MO 63119-5738
Phone
(888) 870-9610
Fax
(888) 571-2970
NPI assigned
Mar 30, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 4301117346 MI
Internal Medicine Physician 207R00000X 2026039802 MO Primary

Addresses

Primary practice location

20 Archbishop May Dr
Saint Louis, MO 63119-5738

Mailing address

20 Archbishop May Dr
Saint Louis, MO 63119-5738
Phone (314) 792-7717

Other practice location 1

2025 W Cheesman Rd
Alma, MI 48801-9760
Phone (989) 463-3451

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20190918000827 MI Practitioner - Internal Medicine 7911293212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
George Washington University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sacred Heart Mercy Health Care CenterGroup PAC ID 5294776092, 5 clinicians

Practice addresses (Care Compare)

2025 W Cheesman Rd
Alma, MI 48801-9760
Phone (989) 463-3451

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Heart Mercy Health Care Center Single Specialty CurrentSince Sep 1, 2019 Accepting new patients

Locations

2025 W Cheesman Rd
Alma, MI 48801
Phone (517) 463-3451

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12006/brand/1/csg/1/fhir/r4
  • Direct secure messaging: christina.kozlovski.1@12006.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1992168603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 ARCHBISHOP MAY DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631195738",
            "telephone_number": "314-792-7717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 ARCHBISHOP MAY DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631195738",
            "telephone_number": "888-870-9610",
            "fax_number": "888-571-2970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2025 W Cheesman Rd",
            "address_purpose": "LOCATION",
            "city": "Alma",
            "state": "MI",
            "postal_code": "488019760",
            "country_code": "US",
            "telephone_number": "989-463-3451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOZLOVSKI",
        "first_name": "CHRISTINA",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-30",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301117346",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2026039802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.