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MICHAEL ROBERT KOZLOWSKI DO
NPI 1649910464
Family Medicine in Waterloo, NY

Active since March 30, 2022PECOS Enrolled
367 E MAIN ST STE A, WATERLOO, NY 13165(315) 787-4977 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 4, 2025, Apr 11, 2025, Mar 31, 2023 (3 updates tracked since 2023).

About Michael Robert Kozlowski Do NPPES

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

MICHAEL ROBERT KOZLOWSKI DO (NPI 1649910464) is an individual family medicine provider in Waterloo, New York, licensed in New York (336097) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Geneva General Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1649910464
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICHAEL ROBERT KOZLOWSKICredential: DO
Location Address367 E MAIN ST STE AWaterloo, NY 13165-1643
Mailing Address16 Bank StBatavia, NY 14020-2250 · (585) 815-6760
Phone(315) 787-4977
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 30, 2022
Last NPPES UpdateSeptember 4, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2025
✔ NPI 1649910464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 336097
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.
367 E MAIN ST STE A, Waterloo, NY 13165
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Robert Kozlowski Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537660758
PECOS Enrollment IDI20250829000348
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.

Hospital Affiliations CMS Care Compare 2

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

Geneva General Hospital

Acute Care Hospitals · Geneva, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330058
Location196 -198 North StreetGeneva, NY 14456 · Ontario County
Emergency services

Soldiers And Sailors Memorial Hospital Of Yates

Critical Access Hospitals · Penn Yan, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331314
Location418 North Main StreetPenn Yan, NY 14527 · Yates County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13165 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Other Providers at the Same Location NPPES 5

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

MR. TREVOR R JOHNSON
Nurse Practitioner (Primary Care)
367 E MAIN ST STE A
WATERLOO, NY 13165
Seneca County (315) 787-4977
DR. LUKE B CHEN M.D.
Internal Medicine
367 E MAIN ST STE A
WATERLOO, NY 13165
Seneca County (315) 787-4977
ELIZABETH MARIE SMITH
Nurse Practitioner (Primary Care)
367 E MAIN ST STE A
WATERLOO, NY 13165
Seneca County (315) 787-4977
JAMIE LYNN BARBER NP
Nurse Practitioner (Adult Health)
367 E MAIN ST STE A
WATERLOO, NY 13165
Seneca County (315) 787-4977
DR. AGATA KATARZYNA OLSZOWSKA M.D.
Family Medicine
367 E MAIN ST STE A
WATERLOO, NY 13165
Seneca County (315) 787-4977

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 Kozlowski's NPI number?

The NPI number for Michael Kozlowski is 1649910464. It was assigned to this individual provider in the NPPES registry on March 30, 2022.

Where is Michael Kozlowski located?

Michael Kozlowski practices at 367 E Main St Ste A, Waterloo, NY 13165. The listed phone number is (315) 787-4977.

What is Michael Kozlowski's specialty?

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

Is Michael Kozlowski enrolled in Medicare?

Yes. Michael Kozlowski is registered in the Medicare PECOS enrollment system.

Is Michael Kozlowski affiliated with any hospitals?

According to CMS data, Michael Kozlowski is affiliated with Geneva General Hospital and Soldiers And Sailors Memorial Hospital Of Yates.

When was this NPI record last updated?

The NPPES record for Michael Kozlowski was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.