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

Michael Sean Kozak, MD

Individual provider Family Medicine Physician · NPI 1558623686

Michael Sean Kozak, MD is a Family Practice in South Bend, Indiana. Qualified in 2012, 14 years ago. Practices with Healthlinc Inc, a 88-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
14
Licensed in
IN
In the registry since
2012
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

621 Memorial Dr Ste 402
South Bend, IN 46601-1074
Phone: (574) 400-4550
Fax: (574) 400-4551
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 01073270A (IN)

Record details

NPI number1558623686
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 14, 2012
Last updated in NPPESFebruary 12, 2024
Certification dateFebruary 12, 2024
Mailing address621 Memorial Dr Ste 402, South Bend, IN 46601-1074

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Healthlinc Inc — 88 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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