Individual provider Active NPI

Kevin Brent Cowan, MD

  • Surgery Physician
  • Visalia, CA
National Provider Identifier
1073045068
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A158665 Issued in CA
Practice address
805 W Acequia Ave Ste 2a
Visalia, CA 93291-6164
Phone
(559) 738-0450
Fax
(559) 738-0460
NPI assigned
Mar 30, 2017
Last updated
Oct 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD2022-1121 NM
Surgery Physician 208600000X A158665 CA Primary

Addresses

Primary practice location

805 W Acequia Ave Ste 2a
Visalia, CA 93291-6164

Mailing address

805 W Acequia Ave Ste 2a
Visalia, CA 93291-6164
Phone (559) 738-0450

Other practice location 1

842 S Akers St
Visalia, CA 93277-8309
Phone (559) 740-4094

Other practice location 2

400 W Mineral King Ave
Visalia, CA 93291-6237
Phone (559) 624-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20250616002619 CA Practitioner - General Surgery 0244615748 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Oklahoma College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

202 W Willow Ave
Suite 305
Visalia, CA 93291-6238
Phone (559) 774-0124

805 W Acequia Ave
Suite 2a
Visalia, CA 93291-6164
Phone (559) 738-0450

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A158665CAMDSurgery Physician
MD2022-1121NMMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kevin B Cowan M.D. Inc. Single Specialty CurrentSince Apr 15, 2025 Accepting new patients
Covenant Hospital Hobbs Past Accepting new patients

Locations

805 W Acequia Ave
Ste 2A
Visalia, CA 93291
Phone (559) 738-0450

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HCFEAA/Endpoint/HCFEAA

Organizations & group practices 3

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 1

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": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1073045068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 W ACEQUIA AVE STE 2A",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916164",
            "telephone_number": "559-738-0450",
            "fax_number": "559-738-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 W ACEQUIA AVE STE 2A",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916164",
            "telephone_number": "559-738-0450",
            "fax_number": "559-738-0460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "842 S Akers St",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932778309",
            "country_code": "US",
            "telephone_number": "559-740-4094",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 W Mineral King Ave",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932916237",
            "country_code": "US",
            "telephone_number": "559-624-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COWAN",
        "first_name": "KEVIN",
        "middle_name": "BRENT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-30",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NM",
            "license": "MD2022-1121",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A158665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.