Individual provider Active NPI

Chad Michael Kovala, D.O.

  • Emergency Medicine Physician
  • Fraser, MI
National Provider Identifier
1114160249
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
5101018084 Issued in MI
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

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, FL7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20110510000387 MI Practitioner - Emergency MedicinePractitioner - General Practice 7214113190 Reassigns benefits to 5 organizations
I20230309001304 OH Practitioner - Emergency Medicine 7214113190
I20230320001585 IN Practitioner - Emergency Medicine 7214113190 Reassigns benefits to 1 organization
I20231113002537 AL Practitioner - Emergency Medicine 7214113190 Reassigns benefits to 2 organizations
I20240805001780 TX Practitioner - Emergency Medicine 7214113190 Reassigns benefits to 2 organizations
I20250829000223 GA Practitioner - Emergency Medicine 7214113190 Reassigns benefits to 1 organization
I20260408003351 FL Practitioner - Emergency Medicine 7214113190 Reassigns benefits to 1 organization

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
Montgomery Emergency Group, LLCGroup PAC ID 5395918387, 25 clinicians
Lake Granbury Hospital-Based Professional ServicesGroup PAC ID 3971940966, 69 clinicians
McLaren Hospital GroupGroup PAC ID 2365968351, 366 clinicians
Lake Wales Emergency Physicians, LLCGroup PAC ID 8022270461, 36 clinicians

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 Hospital, Lansing, MI, CCN 230167
  • McLaren Bay Region Hospital, Bay City, MI, CCN 230041
  • McLaren Flint Hospital, Flint, MI, CCN 230141
  • Adventhealth Lake Wales Hospital, Lake Wales, FL, CCN 100099
  • McLaren Caro Region Hospital, Caro, MI, CCN 231329

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gadsden HB Medical Services LLC Emergency Medicine CurrentSince Oct 10, 2023 Accepting new patients
Beaumont Medical Group Hospital -Based Services CurrentSince Aug 26, 2021 Accepting new patients
Observation Emergency Physicians, P.C. Emergency Medicine CurrentSince Jun 25, 2013 Accepting new patients
Elite Emergency Physicians of Michigan PC Emergency Medicine CurrentSince Aug 9, 2023 Accepting new patients
Flowers HB Medical Services LLC Emergency Medicine CurrentSince Sep 26, 2024 Accepting new patients
Montgomery Emergency Group, LLC Emergency Medicine CurrentSince Jul 1, 2025 Accepting new patients
Degara App, PLLC Emergency Medicine CurrentSince Oct 1, 2018 Accepting new patients
Emergency Professionals of Indiana, P.C. Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Emergency Department Physicians, P.C. Emergency Medicine CurrentSince Jun 25, 2013 Accepting new patients
McLaren Hospital Group Emergency Medicine CurrentSince Jul 1, 2025 Accepting new patients
Lake Granbury Hospital-Based Professional Services Emergency Medicine CurrentSince Jul 17, 2024 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.

View all 13

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": "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

Verify at the official NPI Registry.