NPIMap

Individual provider Active NPI

Bryan Anthony Kovas, M.D.

  • Internal Medicine Physician
  • Ludington, MI
National Provider Identifier
1063684769
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301099407 Issued in MI
Practice address
7 Atkinson Dr
Ludington, MI 49431-1953
Phone
(231) 843-3487
NPI assigned
Apr 2, 2008
Last updated
Feb 25, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301099407 MI Primary

Addresses

Primary practice location

7 Atkinson Dr
Ludington, MI 49431-1953

Mailing address

100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560
Phone (616) 486-6790

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address bkovas112572@epic00.shdirect.org
FHIR URL https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111105000098 MI Practitioner - Internal Medicine 8426221599 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wayne State University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Atkinson Dr
Ludington, MI 49431-1906
Phone (231) 843-2591

2481 N 72ND Ave
Family Medicine
Hart, MI 49420-8008
Phone (231) 873-2163

7 Atkinson Dr
Ludington, MI 49431-1953

922 Lawndale St
Ludington, MI 49431-1928
Phone (231) 845-7380

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301099407MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sparrow Ionia Hospital CurrentSince Aug 25, 2012 Accepting new patients
Sparrow Clinton Hospital CurrentSince Jan 1, 2015 Accepting new patients
Memorial Medical Center of West Michigan CurrentSince Jul 13, 2015 Accepting new patients
Sparrow Clinton Hospital CurrentSince Jan 1, 2015 Accepting new patients
Sparrow Ionia Hospital Internal Medicine CurrentSince Aug 25, 2012 Accepting new patients
Sparrow Ionia Hospital Current Accepting new patients
Memorial Medical Center of West Michigan CurrentSince Jul 13, 2015 Accepting new patients
Spectrum Health Primary Care Partners Internal Medicine Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

321 E Harris St
Charlotte, MI 48813
Phone (517) 541-5840

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

550 E Washington St
Ionia, MI 48846
Phone (616) 523-1600

1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591

7 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-3487

7 Atkinson Dr
Ste 111
Ludington, MI 49431
Phone (231) 733-2008

805 S Oakland St
Saint Johns, MI 48879
Phone (989) 224-6881

Interoperability endpoints

  • Direct secure messaging: bkovas112572@epic00.corewelldirect.org
  • Direct secure messaging: bkovas112572@epic00.shdirect.org

Organizations & group practices 8

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 8

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": "1207094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1063684769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE # MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560",
            "telephone_number": "616-486-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 ATKINSON DR",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494311953",
            "telephone_number": "231-843-3487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVAS",
        "first_name": "BRYAN",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-02",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301099407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bkovas112572@epic00.shdirect.org",
            "affiliation": "N",
            "address_1": "7 Atkinson Dr",
            "city": "Ludington",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494311953",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "7 Atkinson Dr",
            "city": "Ludington",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494311953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ludington, MI

Sources for this page

Verify at the official NPI Registry.