Active NPI
Chad Michael Kovala, D.O.
- Emergency Medicine Physician
- Fraser, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 5101018084
- Practice address
- 17717 Masonic
Fraser, MI 48026-3158 - Phone
- (586) 294-0600
- Fax
- (586) 294-2525
- NPI assigned
- Apr 20, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 02007123A | IN | |
| Emergency Medicine Physician | 207P00000X | 5101018084 | MI | Primary |
Addresses
Primary practice location
17717 Masonic
Fraser, MI 48026-3158
Mailing address
17717 Masonic
Fraser, MI 48026-3158
Phone (586) 294-0600
Other practice location 1
44201 Dequindre Rd Ste Ec
Troy, MI 48085-1117
Phone (248) 964-5111
Other practice location 2
36555 26 Mile Rd Ste 1100
Lenox, MI 48048-3186
Phone (947) 523-4040
Other practice location 3
2520 E DuPont Rd
Fort Wayne, IN 46825-1675
Phone (260) 416-3000 ext. 63000
Other practice location 4
PO Box 635004
Cincinnati, OH 45263-5004
Phone (260) 416-3000
Other practice location 5
7950 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone (260) 435-8269
Other practice location 6
702 Van Buren St
Fort Wayne, IN 46802-3697
Phone (260) 425-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, OH, IN, AL, TX, GA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 7
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Meadows Pkwy
Vidalia, GA 30474-8759
Phone (912) 535-5429
1310 Paluxy Rd
Granbury, TX 76048-5655
Phone (817) 573-2273
1900 Columbus Ave
Bay City, MI 48708-6831
Phone (989) 894-3000
410 S 11TH St
Lake Wales, FL 33853-4203
Phone (863) 676-1433
Hospital & facility affiliations
- McLaren Greater Lansing
- McLaren Bay Region
- McLaren Flint
- Adventhealth Lake Wales
- McLaren Caro Region
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gadsden HB Medical Services LLC | Emergency Medicine | Current | Accepting new patients |
| Beaumont Medical Group Hospital -Based Services | Current | Accepting new patients | |
| Observation Emergency Physicians, P.C. | Emergency Medicine | Current | Accepting new patients |
| Elite Emergency Physicians of Michigan PC | Emergency Medicine | Current | Accepting new patients |
| Flowers HB Medical Services LLC | Emergency Medicine | Current | Accepting new patients |
| Montgomery Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Degara App, PLLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Professionals of Indiana, P.C. | Emergency Medicine | Current | Accepting new patients |
| Emergency Department Physicians, P.C. | Emergency Medicine | Current | Accepting new patients |
| McLaren Hospital Group | Emergency Medicine | Current | Accepting new patients |
| Lake Granbury Hospital-Based Professional Services | Emergency Medicine | Current | Accepting new patients |
Locations (25 of 28)
4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611
1007 Goodyear Ave
Gadsden, AL 35903
Phone (256) 494-4000
1 Meadows Pkwy
Vidalia, GA 30474
Phone (912) 535-5429
303 S Main St
Bluffton, IN 46714
Phone (260) 824-0800
3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021
2520 E DuPont Rd
Fort Wayne, IN 46825
Phone (219) 407-8000
702 Van Buren St
Fort Wayne, IN 46802
Phone (260) 425-3000
7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088
275 W 12th St
Peru, IN 46970
Phone (317) 472-8022
85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743
2101 Dubois Dr
Warsaw, IN 46580
Phone (219) 267-3200
200 Corporate Blvd
Lafayette, LA 70508
1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000
22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248
4100 S River Rd
East China, MI 48054
Phone (810) 329-6677
401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000
17717 Masonic
Fraser, MI 48026
Phone (586) 294-0600
401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286
36555 26 Mile Rd
Ste 1100
Lenox, MI 48048
Phone (947) 523-4010
27351 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 967-7000
50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300
701 S Health Parkway
Three Rivers, MI 49093
Phone (269) 273-9691
44201 Dequindre Rd
Ste Ec
Troy, MI 48085
Phone (248) 259-3088
44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255
11800 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5000
Organizations & group practices 13
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.
-
- Emergency Medicine Physician
- Flint, MI
- NPI 1942026174
-
- Emergency Medicine Physician
- Granbury, TX
- NPI 1689443467
-
- Emergency Medicine Physician
- Vidalia, GA
- NPI 1861773764
-
- Emergency Medicine Physician
- Lake Wales, FL
- NPI 1033480405
-
- Emergency Medicine Physician
- Lansing, MI
- NPI 1265976971
-
- Emergency Medicine Physician
- Three Rivers, MI
- NPI 1427730050
-
- Emergency Medicine Physician
- Detroit, MI
- NPI 1225083595
-
- Emergency Medicine Physician
- Detroit, MI
- NPI 1497920524
-
- Emergency Medicine Physician
- Fort Wayne, IN
- NPI 1013951219
-
- Emergency Medicine Physician
- Dothan, AL
- NPI 1972283828
-
- Emergency Medicine Physician
- Gadsden, AL
- NPI 1750061610
-
- Emergency Medicine Physician
- Edinburg, TX
- NPI 1942467113
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bay City, MI
- NPI 1528031226
-
- Critical Access Hospital
- Caro, MI
- NPI 1073568978
-
- General Acute Care Hospital
- Flint, MI
- NPI 1902894512
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1134104672
-
- General Acute Care Hospital
- Lake Wales, FL
- NPI 1053972760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771200000000",
"number": "1114160249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17717 MASONIC",
"city": "FRASER",
"state": "MI",
"postal_code": "480263158",
"telephone_number": "586-294-0600",
"fax_number": "586-294-2525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17717 MASONIC",
"city": "FRASER",
"state": "MI",
"postal_code": "480263158",
"telephone_number": "586-294-0600",
"fax_number": "586-294-2525"
}
],
"practiceLocations": [
{
"address_1": "44201 Dequindre Rd Ste Ec",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "MI",
"postal_code": "480851117",
"country_code": "US",
"telephone_number": "248-964-5111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "36555 26 Mile Rd Ste 1100",
"address_purpose": "LOCATION",
"city": "Lenox",
"state": "MI",
"postal_code": "480483186",
"country_code": "US",
"telephone_number": "947-523-4040",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2520 E DuPont Rd",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468251675",
"country_code": "US",
"telephone_number": "260-416-3000 x63000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "PO Box 635004",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452635004",
"country_code": "US",
"telephone_number": "260-416-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7950 W Jefferson Blvd",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468044140",
"country_code": "US",
"telephone_number": "260-435-8269",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "702 Van Buren St",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468023697",
"country_code": "US",
"telephone_number": "260-425-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOVALA",
"first_name": "CHAD",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-04-20",
"last_updated": "2026-02-16",
"certification_date": "2026-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "02007123A",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "5101018084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fraser, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.