Mary A Kovalak, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

48189 Issued in CO

Practice address

499 E Hampden Ave Ste 420
Englewood, CO 80113-2794

Phone

(303) 788-8888

Fax

(866) 896-1158

NPI assigned

May 25, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Gastroenterology

Education

Michigan State University College of Human Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

South Denver Gastroenterology, P.CGroup PAC ID 2062302508, 54 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA-Healthone Dba Swedish Medical Center Hospital, Englewood, CO, CCN 060034

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• CO HMO
• devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
• CO HMO D-SNP
• NM HMO C-SNP

Interoperability endpoints

• Direct secure messaging: mary.kovalak.1@3461.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/3461/brand/3/csg/22/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• South Denver Gastroenterology, PC

  • Gastroenterology Physician
  • Lone Tree, CO
  • NPI 1447364831
  Medicare reassignment Care Compare group
• South Denver Gastroenterology, PC

  • Gastroenterology Physician
  • Englewood, CO
  • NPI 1275139578
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• HCA Healthone LLC

  dba HCA HealthONE Swedish Hospital

  • General Acute Care Hospital
  • Englewood, CO
  • NPI 1396790200
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1003861030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 E HAMPDEN AVE STE 420",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132794",
            "telephone_number": "303-788-8888",
            "fax_number": "866-896-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 E HAMPDEN AVE STE 420",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132794",
            "telephone_number": "303-788-8888",
            "fax_number": "866-896-1158"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10103 Ridgegate Pkwy Ste 312",
            "address_purpose": "LOCATION",
            "city": "Lone Tree",
            "state": "CO",
            "postal_code": "801245525",
            "country_code": "US",
            "telephone_number": "303-788-8888",
            "fax_number": "866-456-4594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOVALAK",
        "first_name": "MARY",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CO",
            "license": "48189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78529760",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric O Kortz, MD
• Delaney Koster
• Sarah Schmeda Kothe, OT
• Caitlyn Kotun, CNIM
• Rudy Kovachevich, M.D.
• Sunni Lee Kovar
• Ira J Kowal, M.D. P.C.
• Mark J. Kozlowski
• Brittany Marie Kragness, LPC
• Donna Krasovec, PTA

• Gastroenterology Physician in Englewood, CO
• Providers in Englewood, CO by specialty
• Gastroenterology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.