Individual provider Active NPI

Andrew Philip Covington, MD

  • Physical Medicine & Rehabilitation Physician
  • Burien, WA
National Provider Identifier
1104261874
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD60788009 Issued in WA
Practice address
16259 Sylvester Rd SW Ste 404
Burien, WA 98166-3059
Phone
(206) 243-3049
Fax
(206) 965-4199
NPI assigned
May 7, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MD60788009 WA Primary
Physical Medicine & Rehabilitation Physician 208100000X 5499181-1205 UT
Internal Medicine Physician 207R00000X R73802 AZ

Addresses

Primary practice location

16259 Sylvester Rd SW Ste 404
Burien, WA 98166-3059

Mailing address

16259 Sylvester Rd SW Ste 404
Burien, WA 98166-3059
Phone (206) 243-3049

Other practice location 1

1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 839-2296

Other practice location 2

16233 Sylvester Rd SW Ste G60
Burien, WA 98166-3047
Phone (206) 988-5724

Other identifiers 1

IdentifierTypeStateIssuer
2088786MedicaidWA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address acovington314378@fhsce.catholichealth.net
Direct Messaging Address acovington314378@fhsce.catholichealth.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20220215001237 UT Practitioner - Pain Management 2567738198 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
University of Utah School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians
Expert Wound LLCGroup PAC ID 2567801533, 4 clinicians

Practice addresses (Care Compare)

3590 W 9000
Suite 105
West Jordan, UT 84088-8858
Phone (801) 601-2322

406 W S Jordan Pkwy
Suite 450
South Jordan, UT 84095-3946
Phone (801) 919-3008

Hospital & facility affiliations

  • Community Nursing Services Home health agency, West Valley City, UT, CCN 467001
  • Holy Cross Hospital-Jordan Valley Hospital, West Jordan, UT, CCN 460051
  • University of Utah Hospital and Clinics Hospital, Salt Lake City, UT, CCN 460009

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue573
Removal of skin lesions15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R73802AZMDInternal Medicine Physician
5499181-1205UTMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Health Initiatives Colorado CurrentSince May 1, 2023 Accepting new patients
Catholic Health Initiatives CurrentSince May 1, 2023 Accepting new patients
Expert Wound LLC CurrentSince Dec 29, 2025 Accepting new patients
Physician Group of Utah Inc CurrentSince Mar 1, 2022 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients

Locations

82 S 1100 E
Ste 103
Salt Lake Cty, UT 84102
Phone (801) 505-5370

406 W South Jordan Pkwy
Ste 450
South Jordan, UT 84095
Phone (801) 561-8398

2530 W 4700 S
Ste B8
Taylorsville, UT 84129
Phone (801) 967-5866

3590 W 9000 S
Ste 105
West Jordan, UT 84088
Phone (801) 233-6483

3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810

Networks

  • UT PPO D-SNP
  • UT PPO

Interoperability endpoints

  • Direct secure messaging: acovington314378@fhsce.catholichealth.net

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1367884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1104261874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16259 SYLVESTER RD SW STE 404",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981663059",
            "telephone_number": "206-243-3049",
            "fax_number": "206-965-4199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16259 SYLVESTER RD SW STE 404",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981663059",
            "telephone_number": "206-243-3049",
            "fax_number": "206-965-4199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 E McDowell Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850062612",
            "country_code": "US",
            "telephone_number": "602-839-2296",
            "fax_number": "602-839-2084",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16233 Sylvester Rd SW Ste G60",
            "address_purpose": "LOCATION",
            "city": "Burien",
            "state": "WA",
            "postal_code": "981663047",
            "country_code": "US",
            "telephone_number": "206-988-5724",
            "fax_number": "206-241-4430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COVINGTON",
        "first_name": "ANDREW",
        "middle_name": "PHILIP",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-07",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WA",
            "license": "MD60788009",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "UT",
            "license": "5499181-1205",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "R73802",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2088786",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "acovington314378@fhsce.catholichealth.net",
            "affiliation": "N",
            "address_1": "16233 Sylvester Rd SW Ste G60",
            "city": "Burien",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981663047",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "acovington314378@fhsce.catholichealth.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "16259 Sylvester Rd SW Ste 404",
            "city": "Burien",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981663059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burien, WA

Sources for this page

Verify at the official NPI Registry.