DR. GREGORY NICHOLAS KOZLOV (DO) – Anesthesiology Physician, NPI 1205006277

DR. GREGORY NICHOLAS KOZLOV (DO) is a healthcare provider. based in Saint petersburg, Florida. specializing in ANESTHESIOLOGY, PAIN MANAGEMENT. They hold the professional credentials DO. They hold a License No. 036.127771 (IL). The NPI Number for DR. GREGORY NICHOLAS KOZLOV (DO) is 1205006277

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. GREGORY NICHOLAS KOZLOV (DO)
NPI
1205006277
Phone
Not provided
Address
204 37TH AVE N
Enumeration Date
6 March 2008
Last Update Date
21 February 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7274430100
Graduation Year
2014 (12 years ago)
PAC ID
4789833542
Group Practice PAC ID
8921334350
Professional Enrollment ID
I20121011000404
Address ID
FL337567302BE401XXSTXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:18State licenses:1Digital endpointsOther names

3,340 ANESTHESIOLOGY in FL

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Provider Addresses for DR. GREGORY NICHOLAS KOZLOV (DO)

  • 204, 37th Avenue North, Allendale Terrace, Saint Petersburg, Pinellas County, Florida, 33704, United States

    SUITE 125

    SAINT PETERSBURG, FL 337041416

    Phone:

    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 1 Open Payments records for all available years, with a total value of $32.

Total Amount is formed as General ($32) + Research ($0) + Ownership ($0) = $32.

Last reported payment date: 2024-08-12 • Largest payer in this snapshot: Lilly USA, LLC ($32).

Total Amount

$32

General + Research + Ownership

Payments

1

Total payment records

General Amount

$32

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Lilly USA, LLC$32
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: 2015-02-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20121011000404IAnesthesiologyFLTBD
I20150224001316IAnesthesiologyTXTBD

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
00811Anesthesia for other procedure on large bowel using an endoscope3838$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2626$0
00812Anesthesia for exam of colon using an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 33704)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921334350View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YFL
A N E S T H E S I O L O G YFL
A N E S T H E S I O L O G YFL
Anesthesiology, Interventional Pain ManagementFL

Reviews

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Frequently asked questions

What NPI should I save for DR. GREGORY NICHOLAS KOZLOV (DO)?
Save NPI 1205006277 if you need a stable reference for DR. GREGORY NICHOLAS KOZLOV (DO).
Is DR. GREGORY NICHOLAS KOZLOV (DO) currently active in the NPI registry?
CMS-published data lists DR. GREGORY NICHOLAS KOZLOV (DO) as an active registrant.
Does DR. GREGORY NICHOLAS KOZLOV (DO) list a primary specialty?
If you are matching referrals, note Anesthesiology Physician for DR. GREGORY NICHOLAS KOZLOV (DO). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. GREGORY NICHOLAS KOZLOV (DO)?
The page summarizes Saint Petersburg, Florida for DR. GREGORY NICHOLAS KOZLOV (DO); expand the address list for detail.
What if Saint Petersburg, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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