SAMUEL JOHN KOZLOFF M.D.
NPI 1821521337
Hospitalist in Bountiful, UT
About Samuel John Kozloff M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL JOHN KOZLOFF M.D. (NPI 1821521337) is an individual hospitalist provider in Bountiful, Utah, licensed in Utah (11942247-1205) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in New York.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Samuel John Kozloff M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Samuel Kozloff reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Farmington, UT 84025
- Reassigned Medicare billing, Utah enrollment
- 2,620 clinicians in this Medicare group
Murray, UT 84117
- Reassigned Medicare billing, Utah enrollment
- 271 clinicians in this Medicare group
Tooele, UT 84074
- Reassigned Medicare billing, Utah enrollment
- 98 clinicians in this Medicare group
Boynton Beach, FL 33426
- Reassigned Medicare billing, New York enrollment
- 7,712 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84010 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
BOUNTIFUL, UT 84010
BOUNTIFUL, UT 84010
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 Samuel Kozloff's NPI number?
The NPI number for Samuel Kozloff is 1821521337. It was assigned to this individual provider in the NPPES registry on April 11, 2017.
Where is Samuel Kozloff located?
Samuel Kozloff practices at 630 Medical Dr, Bountiful, UT 84010. The listed phone number is (775) 204-1400.
What is Samuel Kozloff's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Samuel Kozloff enrolled in Medicare?
Yes. Samuel Kozloff is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Samuel Kozloff's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Kozloff reassigns Medicare benefits to 4 organizations: University Of Utah Adult Services (Farmington, UT), Utah Regional Hospitalists LLC (Murray, UT), Tooele Clinic Corp (Tooele, UT) and New York University (Boynton Beach, FL). Each 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 Samuel Kozloff's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Samuel Kozloff was last updated on December 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Samuel John Kozloff, M.D. · NPI 1821521337
Hospitalist physician in Bountiful, Utah. Individual provider, active in the CMS NPPES registry since April 11, 2017.
## Identity
- **NPI:** 1821521337 (Entity type: Individual)
- **Enumerated:** April 11, 2017
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 11942247-1205 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 630 MEDICAL DR, Bountiful, UT 84010-4908
- **Phone:** (775) 204-1400
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): University Of Utah Adult Services (NPI 1649724139, Farmington, UT); Utah Regional Hospitalists LLC (NPI 1962821223, Murray, UT); Tooele Clinic Corp (NPI 1073512364, Tooele, UT); New York University (NPI 1285826438, Boynton Beach, FL) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 20, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1821521337) · Data from the CMS NPPES public registry.