Individual provider Active NPI

Christian A Kovats, DO

  • Family Medicine Physician
  • Port Orange, FL
National Provider Identifier
1063400117
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS0005530 Issued in FL
Practice address
3821 Woodbriar TRL Ste 6
Port Orange, FL 32129-9611
Phone
(845) 996-8177
Fax
(718) 362-1651
NPI assigned
Oct 12, 2005
Last updated
Mar 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS0005530 FL Primary
Family Medicine Physician 207Q00000X OP00001040 WA

Addresses

Primary practice location

3821 Woodbriar TRL Ste 6
Port Orange, FL 32129-9611

Mailing address

3821 Woodbriar TRL Ste 6
Port Orange, FL 32129-9611
Phone (386) 333-6158

Other identifiers 1

IdentifierTypeStateIssuer
1063400117MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20100602000397 FL Practitioner - Family Practice 0345255097 Reassigns benefits to 1 organization
Practice locations: Lake Mary, FL

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

3821 Woodbriar TRL
Suite 6
Port Orange, FL 32129-9611
Phone (877) 258-6331

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue19
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS0005530FLMDFamily Medicine Physician
OP00001040WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients
Indian River Medical Center LLC Family Medicine CurrentSince Mar 21, 2025 Accepting new patients
Primary Care Specialists, LLC Family Medicine PastSince Feb 1, 1999 Accepting new patients
Primary Care Specialists LLC Family Medicine Past Accepting new patients

Locations

3821 Woodbriar Trl
Ste 6
Port Orange, FL 32129
Phone (386) 333-6158

612 Corporate Way
Ste 2M
Vly Cottage, NY 10989
Phone (718) 362-1403

Interoperability endpoints

  • Direct secure messaging: ckovats26142@orlandohealth.medalliesdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/HGCGDD/Endpoint/HGCGDD

Organizations & group practices 4

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

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1063400117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3821 WOODBRIAR TRL STE 6",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321299611",
            "telephone_number": "386-333-6158",
            "fax_number": "386-333-6158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3821 WOODBRIAR TRL STE 6",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321299611",
            "telephone_number": "845-996-8177",
            "fax_number": "718-362-1651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVATS",
        "first_name": "CHRISTIAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS0005530",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP00001040",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063400117",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

Verify at the official NPI Registry.