Organization Active NPI

Dr. Ira J. Kowal M.D. P.C.

  • Cardiovascular Disease Physician
  • Englewood, CO
National Provider Identifier
1093993628
Registry record updated Aug 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
16373 Issued in CO
Legal business name
DR. IRA J. KOWAL M.D. P.C.
Practice address
499 E Hampden Ave
Suite 250
Englewood, CO 80113-2780
Phone
(303) 788-6678
Fax
(303) 788-6620
NPI assigned
Feb 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2008

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

Authorized official

Name
Dr. Ira J Kowal, M.D.
Title
Physician
Phone
(303) 788-6678

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 16373 CO Primary

Addresses

Primary practice location

499 E Hampden Ave
Suite 250
Englewood, CO 80113-2780

Mailing address

499 E Hampden Ave
Suite 250
Englewood, CO 80113-2780
Phone (303) 788-6678

Other identifiers 1

IdentifierTypeStateIssuer
01163732MedicaidCO

National Provider Directory

National Provider Directory

Locations

499 E Hampden Ave
Ste 250
Englewood, CO 80113
Phone (303) 298-1802

NPI Registry JSON

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218153600000",
    "number": "1093993628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 E HAMPDEN AVE",
            "address_2": "SUITE 250",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132780",
            "telephone_number": "303-788-6678",
            "fax_number": "303-788-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 E HAMPDEN AVE",
            "address_2": "SUITE 250",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132780",
            "telephone_number": "303-788-6678",
            "fax_number": "303-788-6620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. IRA J. KOWAL M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-08-08",
        "status": "A",
        "authorized_official_last_name": "KOWAL",
        "authorized_official_first_name": "IRA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "303-788-6678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CO",
            "license": "16373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01163732",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.