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

Jacob John Koczman, MD

Individual provider Internal Medicine Physician · NPI 1194988980

Jacob John Koczman, MD is an Ophthalmology in Scottsdale, Arizona. Graduated from University of Iowa, Rj & L Carver College of Medicine in 2008, 18 years ago. Practices with Brandon Suedekum MD, PC, a 5-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona, Colorado, Indiana and New York.

Years since qualifying
18
Trained at
University of Iowa, Rj & L Carver College of Medicine
Licensed in
AZ, CO, IN, NY
In the registry since
2008
Specialties on file
5
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

14256 N Northsight Blvd Ste 120
Scottsdale, AZ 85260-3954
Phone: (623) 249-7589
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 595 N Dobson Rd Ste A-15, Chandler, AZ 85224-4226 — (623) 249-7589
  • 12647 W Smokey Dr Ste 115, Surprise, AZ 85378-3799 — (623) 249-7589

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 66739 (AZ)
Internal Medicine Physician Taxonomy 207R00000X · Licence 11014550A (IN)
Ophthalmology Physician Taxonomy 207W00000X · Licence 274908 (NY)
Ophthalmology Physician Taxonomy 207W00000X · Licence DR.0056977 (CO)
Ophthalmology Physician Taxonomy 207W00000X · Licence 11014550A (IN)

Record details

NPI number1194988980
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 2, 2008
Last updated in NPPESMay 3, 2023
Certification dateMay 3, 2023

Medicare enrollment

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

Medicare specialtyOPHTHALMOLOGY
Medical schoolUNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduated 2008 (18 years in practice)
Group practice Brandon Suedekum Md, Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Scottsdale