Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Benjamin Michael Kozak, MD

Individual provider Diagnostic Radiology Physician · NPI 1487015384

Benjamin Michael Kozak, MD is a Diagnostic Radiology in Boston, Massachusetts. Graduated from University of California, San Francisco School of Medicine in 2016, 10 years ago. Practices with Pacific Radiology Group Inc, a 30-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California, Kentucky, Massachusetts and Maryland and 3 more.

Years since qualifying
10
Trained at
University of California, San Francisco School of Medicine
Licensed in
CA, KY, MA, MD, NC, OH
In the registry since
2016
Specialties on file
7
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

55 Fruit St
Boston, MA 02114-2621
Phone: (617) 643-3726
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 75 Francis St, Boston, MA 02115-6110 — (617) 732-5500

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence A202269 (CA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 2025-01005 (NC)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 55581 (KY)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 277329 (MA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence T2656 (TX)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence D0091889 (MD)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 35.146016 (OH)

Record details

NPI number1487015384
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 19, 2016
Last updated in NPPESJuly 1, 2025
Certification dateJuly 1, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Pacific Radiology Group Inc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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