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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1003342775

Dr. Merrick Douglas Kozak, MD is a Dermatology in Charlottesville, Virginia. Graduated from Virginia Commonwealth University, School of Medicine in 2017, 9 years ago. Practices with Shenandoah Dermatology, PC, an 11-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
9
Trained at
Virginia Commonwealth University, School of Medicine
Licensed in
VA
In the registry since
2017
Specialties on file
3
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

1221 Lee St
Charlottesville, VA 22908-5051
Phone: (434) 924-5115
Fax: (434) 244-4504
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1215 Lee St, Charlottesville, VA 22908-5051 — (434) 924-5115
  • 1250 E Marshall St, Richmond, VA 23298-5051 — (804) 828-9726

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 0101272020 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 0116030312 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1003342775
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 2, 2017
Last updated in NPPESSeptember 2, 2021
Certification dateSeptember 2, 2021

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolVIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Shenandoah Dermatology, P.C.. — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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