LILY KOZAKOWSKI DO
NPI 1104671981
General Practice in Oceanside, CA

Active since April 23, 2024PECOS Enrolled
200 MERCY CIR, OCEANSIDE, CA 92055(760) 725-1288 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 4, 2025, Apr 23, 2024 (2 updates tracked since 2024).

About Lily Kozakowski Do NPPES

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

LILY KOZAKOWSKI DO (NPI 1104671981) is an individual general practice provider in Oceanside, California, licensed in Virginia (102209651) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104671981
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameLILY KOZAKOWSKICredential: DO
Location Address200 MERCY CIROceanside, CA 92055
Mailing Address200 Mercy CirOceanside, CA 92055
Sole ProprietorNo
Enumeration DateApril 23, 2024
Last NPPES UpdateNovember 4, 20252 updates tracked since enumeration
NPPES CertifiedNovember 4, 2025
NPI 1104671981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in VA · 102209651
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
200 MERCY CIR, Oceanside, CA 92055

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Lily Kozakowski Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Nurse Practitioner
200 MERCY CIR
OCEANSIDE, CA 92055
Nurse Practitioner (Family)
200 MERCY CIR
OCEANSIDE, CA 92055
Massage Therapist
200 MERCY CIR
OCEANSIDE, CA 92055
Surgery
200 MERCY CIR
OCEANSIDE, CA 92055
General Practice
200 MERCY CIR
OCEANSIDE, CA 92055
Family Medicine
200 MERCY CIR
CAMP PENDLETON, CA 92055
Emergency Medicine
200 MERCY CIR
OCEANSIDE, CA 92055
Clinic/Center (Military/U.S. Coast Guard Outpatient)
200 MERCY CIR
CAMP PENDLETON, CA 92055

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 Lily Kozakowski's NPI number?

The NPI number for Lily Kozakowski is 1104671981. It was assigned to this individual provider in the NPPES registry on April 23, 2024.

Where is Lily Kozakowski located?

Lily Kozakowski practices at 200 Mercy Cir, Oceanside, CA 92055. The listed phone number is (760) 725-1288.

What is Lily Kozakowski's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Lily Kozakowski enrolled in Medicare?

Yes. Lily Kozakowski is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lily Kozakowski was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.