KYLE KOSLOWSKI, D.C., PLLC
NPI 1912666033
Chiropractor in Maryville, TN

Active since December 16, 2021
331 WHITECREST DR STE 1, MARYVILLE, TN 37801(845) 705-7020 Get Directions Write a Review

NPPES record last updated: December 16, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Kyle Koslowski, D.c., Pllc NPPES

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

KYLE KOSLOWSKI, D.C., PLLC (NPI 1912666033) is a healthcare organization registered as a chiropractor in Maryville, Tennessee and active in the NPI registry since December 2021. The organization lists Kyle Koslowski, Owner, as its authorized official.

NPPES Registry Identity

NPI1912666033
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameKYLE KOSLOWSKI, D.C., PLLC
Location Address331 WHITECREST DR STE 1Maryville, TN 37801-3939
Mailing Address331 Whitecrest Dr Ste 1Maryville, TN 37801-3939
Organization SubpartNo
Authorized OfficialKyle KoslowskiOwner · (845) 705-7020
Enumeration DateDecember 16, 2021
NPPES CertifiedDecember 16, 2021
✔ NPI 1912666033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
331 WHITECREST DR STE 1, Maryville, TN 37801

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kyle Koslowski, D.c., Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTennesseeEnrollment IDO20220111001329Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kyle Koslowski, D.C., PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1073179222
331 WHITECREST DR STE 1
Maryville, TN 37801
(865) 268-5646
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kyle Koslowski, D.C., PLLC's NPI number?

The NPI number for Kyle Koslowski, D.C., PLLC is 1912666033. It was assigned to this organization in the NPPES registry on December 16, 2021.

Where is Kyle Koslowski, D.C., PLLC located?

Kyle Koslowski, D.C., PLLC is located at 331 Whitecrest Dr Ste 1, Maryville, TN 37801. The listed phone number is (845) 705-7020.

What is Kyle Koslowski, D.C., PLLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Kyle Koslowski, D.C., PLLC enrolled in Medicare?

Yes. Kyle Koslowski, D.C., PLLC is registered in the Medicare PECOS enrollment system.

When is Kyle Koslowski, D.C., PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Tennessee, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Kyle Koslowski, D.C., PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Kyle Koslowski, D.C., PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kyle Koslowski, D.C., PLLC was last updated on December 16, 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.