DR. KAYLEB DALE KOSLOWSKY MD
NPI 1447870811
Psychiatry & Neurology - Psychiatry in Ada, OK

Active since April 25, 2020PECOS Enrolled
1921 STONECIPHER BLVD, ADA, OK 74820(580) 436-3980 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 7, 2025, Apr 25, 2020 (2 updates tracked since 2020).

About Dr. Kayleb Dale Koslowsky Md NPPES

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

DR. KAYLEB DALE KOSLOWSKY MD (NPI 1447870811) is an individual psychiatry provider in Ada, Oklahoma, licensed in Oklahoma (45968) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and is a graduate of University Of Oklahoma College Of Medicine (2020).

NPPES Registry Identity

NPI1447870811
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. KAYLEB DALE KOSLOWSKYCredential: MD
Location Address1921 STONECIPHER BLVDAda, OK 74820-3439
Mailing Address1921 Stonecipher DrAda, OK 74820-3439 · (580) 436-3980
Sole ProprietorYes
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2020
Enumeration DateApril 25, 2020
Last NPPES UpdateOctober 7, 20252 updates tracked since enumeration
NPPES CertifiedOctober 7, 2025
NPI 1447870811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in OK · 45968
Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

1921 STONECIPHER BLVD, Ada, OK 74820

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Kayleb Dale Koslowsky Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1759707219
PECOS Enrollment IDI20251006000806
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74820 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$162.61 typical visit price
range $53.00 – $162.61
Typical copayment $40.65 (range $13.25 – $40.65)
Most-billed visit code 99205
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Internal Medicine
1921 STONECIPHER BLVD
ADA, OK 74820
Pediatrics
1921 STONECIPHER BLVD
ADA, OK 74820
Internal Medicine
1921 STONECIPHER BLVD
ADA, OK 74820
Obstetrics & Gynecology
1921 STONECIPHER BLVD
ADA, OK 74820
Psychiatry & Neurology (Psychiatry)
1921 STONECIPHER BLVD
ADA, OK 74820
Clinic/Center
1921 STONECIPHER BLVD
ADA, OK 74820
General Acute Care Hospital
1921 STONECIPHER BLVD
ADA, OK 74820
Optometrist
1921 STONECIPHER BLVD, CHICKASAW NATION MEDICAL CENTER
ADA, OK 74820

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447870811, enumerated as an "individual" on April 25, 2020.

The provider is located at 1921 STONECIPHER BLVD ADA, OK 74820 and the phone number is (580) 436-3980.

Psychiatry & Neurology with taxonomy code 2084P0800X and a focus in Psychiatry.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Oklahoma, Medica and. Please consult your insurance carrier or call the provider to verify.