Individual provider Active NPI

Lynn D Kowalski, MD

  • Gynecologic Oncology Physician
  • Las Vegas, NV
National Provider Identifier
1083613616
Registry record updated May 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
8628 Issued in NV
Practice address
6020 S Jones Blvd
Las Vegas, NV 89118-2656
Phone
(702) 739-6467
Fax
(702) 733-1689
NPI assigned
Jul 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X 8628 NV Primary

Addresses

Primary practice location

6020 S Jones Blvd
Las Vegas, NV 89118-2656

Mailing address

PO Box 50634
Henderson, NV 89016-0634
Phone (702) 739-6467

Other identifiers 1

IdentifierTypeStateIssuer
002018009MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20051004000443 NV Practitioner - Obstetrics/Gynecology 2062447568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Washington University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lynn Kowalski MD LTDGroup PAC ID 1759306038, 2 clinicians

Practice addresses (Care Compare)

6020 S Jones Blvd
Las Vegas, NV 89118-2619
Phone (702) 739-6467

Hospital & facility affiliations

  • Mountainview Hospital Hospital, Las Vegas, NV, CCN 290039

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Removal of the uterus23

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lynn Kowalski MD LTD Gynecologic Oncology CurrentSince Jun 1, 2005 Accepting new patients
Spring Valley Medical Center Past Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients
Women'S Cancer Center of Nevada Inc Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients

Locations

3100 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 225-5025

6020 S Jones Blvd
Las Vegas, NV 89118
Phone (702) 737-5021

Organizations & group practices 6

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.

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": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431475200000",
    "number": "1083613616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50634",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890160634",
            "telephone_number": "702-739-6467",
            "fax_number": "702-733-1689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891182656",
            "telephone_number": "702-739-6467",
            "fax_number": "702-733-1689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALSKI",
        "first_name": "LYNN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-15",
        "last_updated": "2015-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "NV",
            "license": "8628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002018009",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.