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DR. MICHAEL M KOSHAK MD
NPI 1689680696
Family Medicine in North Hollywood, CA

Active since July 31, 2006PECOS EnrolledAccepts Medicare Assignment
11631 VICTORY BLVD, 101, NORTH HOLLYWOOD, CA 91606(818) 764-8838(818) 432-2238 Get Directions Write a Review

NPPES record last updated: October 24, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael M Koshak Md NPPES

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

DR. MICHAEL M KOSHAK MD (NPI 1689680696) is an individual family medicine provider in North Hollywood, California, licensed in California (A36588) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1976).

NPPES Registry Identity

NPI1689680696
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MICHAEL M KOSHAKCredential: MD
Location Address11631 VICTORY BLVD, 101North Hollywood, CA 91606-3572
Mailing Address11631 Victory Blvd, #101North Hollywood, CA 91606-3572 · (818) 764-8838 · Fax (818) 432-2238
Phone(818) 764-8838
Fax(818) 432-2238
Sole ProprietorNo
Medical School CMSOtherGraduated 1976
Enumeration DateJuly 31, 2006
Last NPPES UpdateOctober 24, 2013
✔ NPI 1689680696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A36588
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.
11631 VICTORY BLVD, North Hollywood, CA 91606
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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 and accepts Medicare assignment

Dr. Michael M Koshak 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 ID9537187208
PECOS Enrollment IDI20051110000883
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 5

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
119 services73 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
51 services44 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
24 services24 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
23 services22 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
19 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91606 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 16

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

BATONGMALAQUE MEDICAL CORPORATION
Physical Therapist
11631 VICTORY BLVD, SUITE 201
N HOLLYWOOD, CA 91606
Los Angeles County (818) 760-9538
JULIE ANN BERZON
Marriage & Family Therapist
11631 VICTORY BLVD
NORTH HOLLYWOOD, CA 91606
Los Angeles County (310) 729-3967
NESYAH SHAESTEH
Family Medicine
11631 VICTORY BLVD
NORTH HOLLYWOOD, CA 91606
Los Angeles County (818) 764-8838
MR. MAREK PIATKOWSKINAZARRO RPT
Physical Therapist
11631 VICTORY BLVD, SUITE 201
N HOLLYWOOD, CA 91606
Los Angeles County (626) 437-3986
MR. NICHOLAS THEODORE TEPELIDIS DPM
Podiatrist
11631 VICTORY BLVD, SUITE 201
N HOLLYWOOD, CA 91606
Los Angeles County (818) 760-9539
JOSEFINA JONES
Licensed Vocational Nurse
11631 VICTORY BLVD
NORTH HOLLYWOOD, CA 91606
Los Angeles County (818) 901-4830
AMANDA KANARIK
Rehabilitation Practitioner
11631 VICTORY BLVD, #203
NORTH HOLLYWOOD, CA 91606
Los Angeles County (818) 908-3855
DR. JORGE EDUARDO RODRIGUEZ MD
Pediatrics
11631 VICTORY BLVD, #101
NORTH HOLLYWOOD, CA 91606
Los Angeles County (818) 764-8838

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 Koshak's NPI number?

The NPI number for Michael Koshak is 1689680696. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Michael Koshak located?

Michael Koshak practices at 11631 Victory Blvd 101, North Hollywood, CA 91606. The listed phone number is (818) 764-8838.

What is Michael Koshak's specialty?

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

Is Michael Koshak enrolled in Medicare?

Yes. Michael Koshak 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.

When was this NPI record last updated?

The NPPES record for Michael Koshak was last updated on October 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.