DR. BENJAMIN WESLEY KOZYAK MD
NPI 1043470016
Pediatrics - Pediatric Critical Care Medicine in Philadelphia, PA

Active since June 13, 2008PECOS EnrolledAccepts Medicare Assignment
3401 CIVIC CENTER BLVD, DIV OF CARDIAC CRITICAL CARE - 6NE40, PHILADELPHIA, PA 19104(215) 590-1190 Get Directions Write a Review

NPPES record last updated: February 15, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 15, 2017, Jan 17, 2017 (2 updates tracked since 2017).

About Dr. Benjamin Wesley Kozyak Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BENJAMIN WESLEY KOZYAK MD (NPI 1043470016) is an individual pediatric critical care medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD458499) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS and is a graduate of Perelman School Of Med At The University Of Pennsylvania (2008).

NPPES Registry Identity

NPI1043470016
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameDR. BENJAMIN WESLEY KOZYAKCredential: MD
Location Address3401 CIVIC CENTER BLVD, DIV OF CARDIAC CRITICAL CARE - 6NE40Philadelphia, PA 19104-4319
Mailing Address100 E Penn Sq, The Wanamaker Bldg., 9th Fl, N.Philadelphia, PA 19107-3323 · (267) 425-9320
Sole ProprietorNo
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 2008
Enumeration DateJune 13, 2008
Last NPPES UpdateFebruary 15, 20172 updates tracked since enumeration
✔ NPI 1043470016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in PA · MD458499
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedPediatrics · Pediatric CardiologyTaxonomy 2080P0202X · License MD458499 (PA)
3401 CIVIC CENTER BLVD, Philadelphia, PA 19104

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Benjamin Wesley Kozyak Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820372097
PECOS Enrollment IDI20170307002026
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Benjamin Kozyak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pain Medicine
3401 CIVIC CENTER BLVD
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Childrens Anesthesiology Associates Ltd
  • 216 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - CARDIOLOGY
PHILADELPHIA, PA 19104
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - EMERGENCY MED
PHILADELPHIA, PA 19104
Surgery (Plastic and Reconstructive Surgery)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Pediatrics (Developmental - Behavioral Pediatrics)
3401 CIVIC CENTER BLVD, DIVISION OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
PHILADELPHIA, PA 19104
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Pharmacist (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Benjamin Kozyak's NPI number?

The NPI number for Benjamin Kozyak is 1043470016. It was assigned to this individual provider in the NPPES registry on June 13, 2008.

Where is Benjamin Kozyak located?

Benjamin Kozyak practices at 3401 Civic Center Blvd Div Of Cardiac Critical Care - 6ne40, Philadelphia, PA 19104. The listed phone number is (215) 590-1190.

What is Benjamin Kozyak's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Benjamin Kozyak enrolled in Medicare?

Yes. Benjamin Kozyak is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Benjamin Kozyak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Kozyak reassigns Medicare benefits to Children's Anesthesiology Associates, Ltd (Philadelphia, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Benjamin Kozyak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Benjamin Kozyak was last updated on February 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.