Organization Active NPI

Endocrinology Specialists, PC

  • Endocrinology, Diabetes & Metabolism Physician
  • Greensburg, PA
National Provider Identifier
1093812703
Registry record updated Jan 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
ENDOCRINOLOGY SPECIALISTS, PC
Practice address
540 South St
Suite 306
Greensburg, PA 15601-2774
Phone
(724) 832-3130
Fax
(724) 832-7301
NPI assigned
Sep 17, 2006
Last updated
Jan 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2016

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

Authorized official

Name
Stephan Kowalyk, M.D.NPI 1457458168
Title
President
Phone
(724) 832-3130

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X NU Primary

Addresses

Primary practice location

540 South St
Suite 306
Greensburg, PA 15601-2774

Mailing address

540 South St
Suite 306
Greensburg, PA 15601-2774
Phone (724) 832-3130

Other identifiers 2

IdentifierTypeStateIssuer
1007585760003MedicaidPA
DA5194OtherPARAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040427000086 PA Part B Supplier - Clinic/Group Practice 7911994678 Receives reassigned benefits from 2 practitioners
Practice locations: Greensburg, PA; Latrobe, PA; Mount Pleasant, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452211200000",
    "number": "1093812703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 SOUTH ST",
            "address_2": "SUITE 306",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156012774",
            "telephone_number": "724-832-3130",
            "fax_number": "724-832-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 SOUTH ST",
            "address_2": "SUITE 306",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156012774",
            "telephone_number": "724-832-3130",
            "fax_number": "724-832-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOCRINOLOGY SPECIALISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-17",
        "last_updated": "2016-01-08",
        "status": "A",
        "authorized_official_last_name": "KOWALYK",
        "authorized_official_first_name": "STEPHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-832-3130",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007585760003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA5194",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.