Active NPI
Evan Connor Kowalski, MD
- Surgery Physician
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 4301506958
- Practice address
- 2060 E Paris Ave SE Ste 100
Grand Rapids, MI 49546-6113 - Phone
- (616) 956-6100
- NPI assigned
- Jun 28, 2019
- Last updated
- Mar 12, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 35.150576 | OH | |
| Surgery Physician | 208600000X | 4301506958 | MI | Primary |
Addresses
Primary practice location
2060 E Paris Ave SE Ste 100
Grand Rapids, MI 49546-6113
Mailing address
2060 E Paris Ave SE Ste 100
Grand Rapids, MI 49546-6113
Phone (616) 956-6100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Wayne State University School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2060 E Paris Ave SE
Suite 100
Grand Rapids, MI 49546-6113
Phone (616) 956-6100
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital | Surgery | Current | Accepting new patients |
| Summa Physicians LLC | Current | Accepting new patients | |
| Memorial Hospital | Current | Accepting new patients | |
| Midwest Institute of Health PC | Surgery | Past | Accepting new patients |
| Summa Health System | Past | Accepting new patients |
Locations
113 E Williams St
Owosso, MI 48867
Phone (989) 725-6101
826 W King St
Owosso, MI 48867
Phone (989) 720-2273
3337 Britton Rd
Perry, MI 48872
Phone (517) 625-3004
1077 Gorge Blvd
Akron, OH 44310
Phone (234) 312-5691
525 E Market St
Akron, OH 44304
Phone (330) 375-6350
Organizations & group practices 5
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.
-
dba Grand Health Partners
- Surgery Physician
- Grand Rapids, MI
- NPI 1013166222
-
dba Memorial Medical Associates
- General Practice Physician
- Owosso, MI
- NPI 1235160532
Surgery
-
dba Memorial Medical Associates
- Anesthesiology Physician
- Owosso, MI
- NPI 1659527737
-
dba Summa Health Medical Group
- Obstetrics & Gynecology Physician
- Akron, OH
- NPI 1235167719
-
- General Acute Care Hospital
- Akron, OH
- NPI 1396765681
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Corewell Health Pennock Hospital
- Critical Access Hospital
- Hastings, MI
- NPI 1932695525
-
dba Mercy Health Saint Mary's
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1639111057
-
dba Corewell Health Grand Rapids Hospital
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1922090554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773273600000",
"number": "1073174108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2060 E PARIS AVE SE STE 100",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495466113",
"telephone_number": "616-956-6100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2060 E PARIS AVE SE STE 100",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495466113",
"telephone_number": "616-956-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOWALSKI",
"first_name": "EVAN",
"middle_name": "CONNOR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-28",
"last_updated": "2026-03-12",
"certification_date": "2026-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "35.150576",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "4301506958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; 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.