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

Cole Simon Kozloff, PA-C

Individual provider Physician Assistant · NPI 1417359415

Cole Simon Kozloff, PA-C is a Physician Assistant in Bellevue, Washington. Qualified in 2014, 12 years ago. Practices with Optum Care Washington PLLC, a 685-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
12
Licensed in
WA
In the registry since
2014
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

15585 NE 24th St
Bellevue, WA 98007-3836
Phone: (888) 227-3312
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 800 5th Ave Ste 600, Seattle, WA 98104-3186 — (888) 227-3312
  • 747 Broadway # Wwa11b, Seattle, WA 98122-4379 — (206) 320-3417

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA60503487 (WA)

Record details

NPI number1417359415
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 22, 2014
Last updated in NPPESJuly 7, 2026
Certification dateJuly 7, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Optum Care Washington Pllc — 685 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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