PAUL KOZAK (DO) – Gastroenterology Physician, NPI 1235790114
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
448 GASTROENTEROLOGY in IN
Provider Addresses for PAUL KOZAK (DO)
11110 Pinewood Cir
Evansville, IN 477259035
Phone: (812) 477-6103
Type: Location
1640, Hatteras Drive, Prairie Harbor, Bourbonnais, Kankakee County, Illinois, 60914, United States
BOURBONNAIS, IL 609149202
Phone:
Type: Mailing
3800 VENETIAN WAY
NEWBURGH, IN 476308257
Phone: (812) 477-6103
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 36 Open Payments records for all available years, with a total value of $1,550.
Total Amount is formed as General ($1,550) + Research ($0) + Ownership ($0) = $1,550.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($339).
Total Amount
$1,550
General + Research + Ownership
Payments
36
Total payment records
General Amount
$1,550
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2025-05-03
PECOS data refreshed: 2026-05-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250503000177 | I | Gastroenterology | IN | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 47725)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| G A S T R O E N T E R O L O G Y | MN | |
| G A S T R O E N T E R O L O G Y | KY | |
| Internal Medicine, Gastroenterology | IN | |
| Nurse Practitioner | IN | |
| P A T H O L O G Y | IN | |
| Nurse Practitioner | IN | |
| G A S T R O E N T E R O L O G Y | IN | |
| Nurse Practitioner | IN | |
| G A S T R O E N T E R O L O G Y | NY |
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