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

Kevin R Kozak, MD, PHD

Individual provider Radiation Oncology Physician · NPI 1124219241

Kevin R Kozak, MD, PHD is a Radiation Oncology in Baraboo, Wisconsin. Graduated from Vanderbilt University School of Medicine in 2003, 23 years ago. Practices with Mercy Health System Corporation, a 751-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida, Illinois and Wisconsin.

Years since qualifying
23
Trained at
Vanderbilt University School of Medicine
Licensed in
FL, IL, WI
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

707 14th St
Baraboo, WI 53913-1539
Phone: (608) 356-1400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 25243 Elementary Way, Bonita Springs, FL 34135-7898 — (239) 317-2772
  • 1000 Mineral Point Ave, Janesville, WI 53548-2940 — (608) 756-6500

Specialties & licences

Radiation Oncology Physician (primary) Taxonomy 2085R0001X · Licence 51615 (WI)
Radiation Oncology Physician Taxonomy 2085R0001X · Licence ME148357 (FL)
Radiation Oncology Physician Taxonomy 2085R0001X · Licence 036121114 (IL)

Record details

NPI number1124219241
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , PHD
Sole proprietorNo
NPI enumeratedAugust 5, 2007
Last updated in NPPESJune 23, 2025
Certification dateJune 23, 2025

Medicare enrollment

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

Medicare specialtyRADIATION ONCOLOGY
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice Mercy Health System Corporation — 751 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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