DR. MICHAEL M KOSHAK (MD) – Family Medicine Physician, NPI 1689680696

DR. MICHAEL M KOSHAK (MD) is a healthcare provider. based in North hollywood, California. specializing in GENERAL PRACTICE. They hold the professional credentials MD. They hold a License No. A36588 (CA). The NPI Number for DR. MICHAEL M KOSHAK (MD) is 1689680696

Main info

Male
50 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL M KOSHAK (MD)
NPI
1689680696
Phone
(818) 764-8838
Address
11631 VICTORY BLVD
Enumeration Date
31 July 2006
Last Update Date
24 October 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8187648838
Graduation Year
1976 (50 years ago)
PAC ID
9537187208
Professional Enrollment ID
I20051110000883
Address ID
CA916063572NO11631BLVD300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,034 GENERAL PRACTICE in CA

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Provider Addresses for DR. MICHAEL M KOSHAK (MD)

  • Victory Boulevard, North Hollywood, Los Angeles, Los Angeles County, California, 91601, United States

    #101

    NORTH HOLLYWOOD, CA 916063572

    Phone: (818) 764-8838

    Fax: (818) 432-2238

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $115.

Total Amount is formed as General ($115) + Research ($0) + Ownership ($0) = $115.

Last reported payment date: 2024-04-23 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($37).

Total Amount

$115

General + Research + Ownership

Payments

6

Total payment records

General Amount

$115

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-11-10

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051110000883IGeneral PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes9552$0
99214Established patient office or other outpatient visit, 30-39 minutes2015$0
36410Insertion of needle into vein (3 years or older)1212$0
99211Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional1211$0
View full utilization report →

Insurance plans in this area (ZIP 91606)

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Reviews

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Frequently asked questions

Does DR. MICHAEL M KOSHAK (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. MICHAEL M KOSHAK (MD) uses 1689680696.
Can I rely on DR. MICHAEL M KOSHAK (MD) being an active provider?
As of the registry snapshot, DR. MICHAEL M KOSHAK (MD) is marked active.
What taxonomy line describes DR. MICHAEL M KOSHAK (MD)?
For research purposes, treat DR. MICHAEL M KOSHAK (MD) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. MICHAEL M KOSHAK (MD) based?
DR. MICHAEL M KOSHAK (MD) is tied to North Hollywood, California in the data we show; additional addresses may exist on the full record.
Why does DR. MICHAEL M KOSHAK (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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