DR. MIKE KOZMINSKI (M.D.) – Urology Physician, NPI 1093816316
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
271 UROLOGY in MO
Provider Addresses for DR. MIKE KOZMINSKI (M.D.)
901 HEARTLAND RD
SUITE 1800
SAINT JOSEPH, MO 645066200
Phone: (816) 232-8877
Fax: (816) 232-0307
Type: Mailing
72 S State St
Shelby, MI 494551228
Phone: (231) 873-6900
Type: Location
5603 STONEBRIDGE DR SE
GRANDVILLE, MI 49418
Phone: (816) 248-2373
Type: Mailing
611 E MAIN ST
HART, MI 494201190
Phone: (231) 873-6900
Fax: (231) 873-1825
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $110.
Total Amount is formed as General ($110) + Research ($0) + Ownership ($0) = $110.
Last reported payment date: 2024-02-28 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($65).
Total Amount
$110
General + Research + Ownership
Payments
5
Total payment records
General Amount
$110
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sumitomo Pharma America, Inc. | $65 |
| Astellas Pharma US Inc | $23 |
| Telix Pharmaceuticals | $21 |
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: 2013-11-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100415000655 | I | Urology | MO | TBD |
| I20131112000801 | I | Urology | MI | 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 64506)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | MI | |
| - | MI | |
| General Surgery | MI | |
| Nurse Practitioner | MI | |
| Physician Assistant | MI | |
| Nurse Practitioner | MI |
Reviews
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