Individual provider Active NPI

Stephen O. Kovacs, M.D.

  • MOHS-Micrographic Surgery Physician
  • Brighton, MA
National Provider Identifier
1124014006
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
208808 Issued in MA
Practice address
77 Warren St Ste 353
Brighton, MA 02135-3601
Phone
(617) 787-0400
Fax
(617) 690-6155
NPI assigned
Sep 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 208808 MA Primary

Addresses

Primary practice location

77 Warren St Ste 353
Brighton, MA 02135-3601

Mailing address

77 Warren St Ste 353
Brighton, MA 02135-3601
Phone (617) 787-0400

Other identifiers 1

IdentifierTypeStateIssuer
051131MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20041026000704 MA Practitioner - Dermatology 5092776625 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Harvard Medical School, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

77 Warren St
Brighton, MA 02135-3601
Phone (617) 787-0400

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10
Melanoma (skin cancer) excision224
Removal of skin lesions211
Removal of skin cancer483
Skin biopsy314

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
208808MAMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen O. Kovacs MD PC Mohs-Micrographic Surgery CurrentSince Jul 1, 2004 Accepting new patients
Stephen O Kovacs MD PC Past Accepting new patients
Stephen Otto Kovacs Mohs-Micrographic Surgery Past Accepting new patients

Locations

77 Warren St
#353
Brighton, MA 02135
Phone (617) 787-0400

77 Warren St
Ste 353
Brighton, MA 02135
Phone (617) 787-0400

11 Nevins St
Ste 302
Brighton, MA 02135
Phone (617) 562-0500

61 Lincoln St
Ste 307
Framingham, MA 01702
Phone (508) 340-0070

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BJCJAA/Endpoint/BJCJAA
  • Direct secure messaging: stephen.kovacs@sok.eclinicaldirectplus.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1124014006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 WARREN ST STE 353",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021353601",
            "telephone_number": "617-787-0400",
            "fax_number": "617-690-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 WARREN ST STE 353",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021353601",
            "telephone_number": "617-787-0400",
            "fax_number": "617-690-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVACS",
        "first_name": "STEPHEN",
        "middle_name": "O.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "MA",
            "license": "208808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051131",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MA

Sources for this page

Verify at the official NPI Registry.