SHEA M KOZAK PA-C
NPI 1740794106
Physician Assistant - Surgical in Hartford, CT

Active since November 21, 2017PECOS EnrolledAccepts Medicare Assignment
80 SEYMOUR STREET, HARTFORD HOSPITAL SURGERY DEPT, HARTFORD, CT 06102(860) 972-5022 Get Directions Write a Review

NPPES record last updated: August 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 10, 2021, Apr 25, 2018, Nov 21, 2017 (3 updates tracked since 2017).

About Shea M Kozak Pa-c NPPES

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

SHEA M KOZAK PA-C (NPI 1740794106) is an individual surgical provider in Hartford, Connecticut, licensed in Connecticut (004006) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Manchester, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1740794106
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameSHEA M KOZAKCredential: PA-C
Location Address80 SEYMOUR STREET, HARTFORD HOSPITAL SURGERY DEPTHartford, CT 06102-8000
Mailing Address80 Seymour Street, Hartford Hospital Surgery DeptHartford, CT 06102-8000 · (860) 972-5022
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateNovember 21, 2017
Last NPPES UpdateAugust 27, 20243 updates tracked since enumeration
NPPES CertifiedAugust 27, 2024
NPI 1740794106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in CT · 004006
Also ListedPhysician AssistantTaxonomy 363A00000X · License 4006 (CT)
80 SEYMOUR STREET, Hartford, CT 06102

Secondary Practice Location 1

Location 171 Haynes StManchester, CT 06040-4131 · Phone (860) 646-1222

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

Shea M Kozak Pa-c 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 ID6800155672
PECOS Enrollment IDI20180124002057
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.

Aspiration of fluid from chest cavity using imaging guidance 32555
This procedure, known as a thoracentesis, involves removing fluid from the space between the lungs and chest wall, called the pleural space. It's performed under imaging guidance to ensure precision. It can help diagnose conditions or relieve symptoms like shortness of breath.
64 services53 patients
Drainage of fluid from abdominal cavity using imaging guidance 49083
This procedure involves removing excess fluid from your abdominal cavity, which can relieve discomfort. A specialist uses imaging technology to guide a thin needle into the right spot. The fluid is then drained out safely.
32 services27 patients

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.

Physician Assistant (Surgical)
80 SEYMOUR STREET, HARTFORD HOSPITAL SURGERY DEPT
HARTFORD, CT 06102
Dietitian, Registered
80 SEYMOUR STREET, HARTFORD HOSPITAL FOOD & NUTRITION SERVICES
HARTFORD, CT 06102
Thoracic Surgery (Cardiothoracic Vascular Surgery)
80 SEYMOUR STREET, CARDIAC SURGERY
HARTFORD, CT 06102
Psychiatry & Neurology (Psychiatry)
80 SEYMOUR STREET, HARTFORD HOSPITAL
HARTFORD, CT 06102
Physician Assistant (Medical)
80 SEYMOUR STREET, HARTFORD HOSPITAL MEDICINE DEPT
HARTFORD, CT 06102
Physician Assistant (Medical)
80 SEYMOUR STREET, HARTFORD HOSPITAL EMERGENCY MEDICINE
HARTFORD, CT 06102
Student in an Organized Health Care Education/Training Program
80 SEYMOUR STREET
HARTFORD, CT 06102
Physician Assistant
80 SEYMOUR STREET, HARTFORD HOSPITAL SURGERY DEPT
HARTFORD, CT 06102

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 Shea Kozak's NPI number?

The NPI number for Shea Kozak is 1740794106. It was assigned to this individual provider in the NPPES registry on November 21, 2017.

Where is Shea Kozak located?

Shea Kozak practices at 80 Seymour Street Hartford Hospital Surgery Dept, Hartford, CT 06102. The listed phone number is (860) 972-5022.

What is Shea Kozak's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Shea Kozak enrolled in Medicare?

Yes. Shea 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.

When was this NPI record last updated?

The NPPES record for Shea Kozak was last updated on August 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.