ALEXA T KOZAK (AU.D.) – Audiologist, NPI 1679694137

ALEXA T KOZAK (AU.D.) is a healthcare provider. based in Burlington, Massachusetts. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AU.D.. They hold a License No. 822 (MA). The NPI Number for ALEXA T KOZAK (AU.D.) is 1679694137

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
ALEXA T KOZAK (AU.D.)
NPI
1679694137
Phone
(781) 744-8452
Address
LAHEY CLINIC
Enumeration Date
3 April 2007
Last Update Date
31 May 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6179100368
Graduation Year
2005 (21 years ago)
PAC ID
8022170687
Group Practice PAC ID
7618125931
Professional Enrollment ID
I20081216000721
Address ID
MA024620000NE2000XSTXX300
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

288 QUALIFIED AUDIOLOGIST in MA

Provider Addresses for ALEXA T KOZAK (AU.D.)

  • LAHEY CLINIC

    41 MALL RD.

    BURLINGTON, MA 018050001

    Phone: (781) 744-8452

    Fax: (781) 744-3440

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2008-12-16

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081216000721IQualified AudiologistMATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01805)

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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: 7618125931View full group profile
NameSpecialtyState
D E R M A T O L O G YMA
O T O L A R Y N G O L O G YMA
Qualified AudiologistMA
Qualified AudiologistMA
O T O L A R Y N G O L O G YMA
O T O L A R Y N G O L O G YMA
Qualified AudiologistMA
Otolaryngology, Plastic And Reconstructive SurgeryMA
Nurse PractitionerMA
O T O L A R Y N G O L O G YMA

Reviews

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Frequently asked questions

What is the 10-digit NPI for ALEXA T KOZAK (AU.D.)?
ALEXA T KOZAK (AU.D.) — NPI 1679694137 — is the standard way to identify this listing.
Is ALEXA T KOZAK (AU.D.) listed as active for patients and plans?
The listing shows ALEXA T KOZAK (AU.D.) as active in the NPI system.
What is ALEXA T KOZAK (AU.D.)'s specialty?
The listing groups ALEXA T KOZAK (AU.D.) with Audiologist. Clinical services aligned with this taxonomy classification.
What address line appears for ALEXA T KOZAK (AU.D.)?
ALEXA T KOZAK (AU.D.)'s geographic hint is Burlington, Massachusetts in our summary view.
Why does ALEXA T KOZAK (AU.D.) 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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