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KEN KOZAWA I MD PC
NPI 1508865445
Internal Medicine in Sweetwater, TN

Active since July 21, 2005
304 WRIGHT ST, SWEETWATER, TN 37874(865) 213-8200(865) 213-8596 Get Directions Write a Review

NPPES record last updated: May 1, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ken Kozawa I Md Pc NPPES

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

KEN KOZAWA I MD PC (NPI 1508865445) is a healthcare organization registered as an internal medicine in Sweetwater, Tennessee and active in the NPI registry since July 2005. The organization lists Kenya Kozawa, Owner, as its authorized official.

NPPES Registry Identity

NPI1508865445
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameKEN KOZAWA I MD PC
Location Address304 WRIGHT STSweetwater, TN 37874-1181
Mailing Address304 Wright StSweetwater, TN 37874-1181 · (865) 213-8200 · Fax (865) 213-8596
Phone(865) 213-8200
Fax(865) 213-8596
Organization SubpartNo
Authorized OfficialKenya KozawaOwner · (865) 213-8590
Enumeration DateJuly 21, 2005
Last NPPES UpdateMay 1, 2009
✔ NPI 1508865445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TN · 25483
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
304 WRIGHT ST, Sweetwater, TN 37874
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Other Identifiers 5

Other4121508Bc
Medicare ID-Type Unspecified3733125
Medicare PIN3723711TN
Medicaid3733125TN
Medicare PIN3729045TN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ken Kozawa I Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Ken Kozawa I MD PC, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Marsha Cagle, N.P.
Nurse Practitioner
NPI 1013916691
304 WRIGHT ST
Sweetwater, TN 37874
(865) 213-8590
✔ PECOS✔ Accepts MedicareSame address
Kenya Kozawa, M.D.
Internal Medicine
NPI 1568460525
304 WRIGHT ST
Sweetwater, TN 37874
(865) 213-8590
✔ PECOS✔ Accepts MedicareSame address
Thomas Vance, NP
Nurse Practitioner
NPI 1649654385
304 WRIGHT ST
Sweetwater, TN 37874
(865) 213-8590
✔ PECOS✔ Accepts MedicareSame address
Kellie Gallaher, NP
Nurse Practitioner
NPI 1376192286
304 WRIGHT ST
Sweetwater, TN 37874
(865) 213-8440
✔ PECOS✔ Accepts MedicareSame address
Joshua Blair, NP
Nurse Practitioner
NPI 1669893566
315 GRADY RD
Etowah, TN 37331
(423) 263-5400
✔ PECOS✔ Accepts Medicare18 mi
Jim Young, APN
Nurse Practitioner
NPI 1952658403
576 FORT LOUDOUN MEDICAL CENTER DR STE 203
Lenoir City, TN 37772
(865) 271-6095
✔ PECOS19 mi

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

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 Ken Kozawa I MD PC's NPI number?

The NPI number for Ken Kozawa I MD PC is 1508865445. It was assigned to this organization in the NPPES registry on July 21, 2005.

Where is Ken Kozawa I MD PC located?

Ken Kozawa I MD PC is located at 304 Wright St, Sweetwater, TN 37874. The listed phone number is (865) 213-8200.

What is Ken Kozawa I MD PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ken Kozawa I MD PC enrolled in Medicare?

Yes. Ken Kozawa I MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ken Kozawa I MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Ken Kozawa I MD PC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (5) and Internal Medicine (1). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ken Kozawa I MD PC was last updated on May 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.