MICHAEL SEAN KOZAK MD
NPI 1558623686
Family Medicine in South Bend, IN

Active since June 14, 2012PECOS EnrolledAccepts Medicare Assignment
621 MEMORIAL DR STE 402, SOUTH BEND, IN 46601(574) 400-4550(574) 400-4551 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 1, 2023, Mar 30, 2021, Jan 10, 2020 and 3 more (6 updates tracked since 2016).

About Michael Sean Kozak Md NPPES

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

MICHAEL SEAN KOZAK MD (NPI 1558623686) is an individual family medicine provider in South Bend, Indiana, licensed in Indiana (01073270A) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph Regional Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1558623686
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICHAEL SEAN KOZAKCredential: MD
Location Address621 MEMORIAL DR STE 402South Bend, IN 46601-1074
Mailing Address621 Memorial Dr Ste 402South Bend, IN 46601-1074 · (574) 400-4550 · Fax (574) 400-4551
Fax(574) 400-4551
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 14, 2012
Last NPPES UpdateFebruary 12, 20246 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2024
NPI 1558623686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IN · 01073270A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
621 MEMORIAL DR STE 402, South Bend, IN 46601

Other Identifiers 1

Medicaid201112880IN

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 and accepts Medicare assignment

Michael Sean Kozak 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 ID3274786306
PECOS Enrollment IDI20140916001590
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
44 services23 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
18 services17 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Joseph Regional Medical Center

Acute Care Hospitals · Mishawaka, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150012
Location5215 Holy Cross PkwyMishawaka, IN 46545 · St. Joseph County
Emergency services Birthing friendly

Memorial Hospital Of South Bend

Acute Care Hospitals · South Bend, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150058
Location615 N Michigan StSouth Bend, IN 46601 · St. Joseph County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46601 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers12 claims29 services$5.23 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers12 claims22 services$0.92 avg. paid by Medicare
Enteral nutrition infusion pump, any type B9002
Other-Enteral and Parenteral · category OB005N
1 supplier12 claims12 services$54.81 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers25 claims25 services$83.99 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$30.75 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
2 suppliers14 claims14 services$33.22 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 16

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

Nurse Practitioner (Family)
621 MEMORIAL DR STE 402
SOUTH BEND, IN 46601
Nurse Practitioner (Family)
621 MEMORIAL DR STE 402
SOUTH BEND, IN 46601
Social Worker (Clinical)
621 MEMORIAL DR STE 402
SOUTH BEND, IN 46601
Internal Medicine (Infectious Disease)
621 MEMORIAL DR STE 402, MEMORIAL HOSPITAL
SOUTH BEND, IN 46601
Nurse Practitioner (Family)
621 MEMORIAL DR STE 402
SOUTH BEND, IN 46601
Pediatrics
621 MEMORIAL DR STE 402
SOUTH BEND, IN 46601
Family Medicine
621 MEMORIAL DR STE 402
SOUTH BEND, IN 46601
Nurse Practitioner (Family)
621 MEMORIAL DR STE 402
SOUTH BEND, IN 46601

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 Michael Kozak's NPI number?

The NPI number for Michael Kozak is 1558623686. It was assigned to this individual provider in the NPPES registry on June 14, 2012.

Where is Michael Kozak located?

Michael Kozak practices at 621 Memorial Dr Ste 402, South Bend, IN 46601. The listed phone number is (574) 400-4550.

What is Michael Kozak's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michael Kozak enrolled in Medicare?

Yes. Michael Kozak 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.

What insurance does Michael Kozak accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Michael Kozak as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Michael Kozak affiliated with any hospitals?

According to CMS data, Michael Kozak is affiliated with Saint Joseph Regional Medical Center and Memorial Hospital Of South Bend.

When was this NPI record last updated?

The NPPES record for Michael Kozak was last updated on February 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.