Individual provider Active NPI

Christopher Kowalski, MD

  • Surgery Physician
  • Yardley, PA
National Provider Identifier
1144218181
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD420494 Issued in PA
Practice address
301 Oxford Valley Rd Ste 701
Yardley, PA 19067-7706
Phone
(215) 757-5131
Fax
(215) 757-5870
NPI assigned
Oct 13, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD32985 DC
Surgery Physician 208600000X 25MA07422400 NJ
Surgery Physician 208600000X 04-33691 KS
Surgery Physician 208600000X MD420494 PA Primary

Addresses

Primary practice location

301 Oxford Valley Rd Ste 701
Yardley, PA 19067-7706

Mailing address

301 Oxford Valley Rd Ste 701
Yardley, PA 19067-7706
Phone (215) 757-5131

Other identifiers 7

IdentifierTypeStateIssuer
0019587840004MedicaidPA
3193882OtherPACIGNA PA
2185111000OtherPAKEYSTONE IBC
30248666OtherPAKEYSTONE FIRST
1496070OtherPAHIGHMARK BLUE SHIELD
7488482OtherPAAETNA
P01515609OtherPARAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address christopher.kowalski@kowalskisurgicalcenter.chartmakerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20031204000215 PA Practitioner - General SurgeryPractitioner - Vascular Surgery 6406751312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
Temple University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

301 Oxford Valley Rd
Suite 701
Yardley, PA 19067-7706
Phone (215) 757-5131

Hospital & facility affiliations

  • St Mary Medical Center Hospital, Langhorne, PA, CCN 390258

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal208

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD32985DCMDSurgery Physician
25MA07422400NJMDSurgery Physician
MD420494PAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kowalski Surgical Center LLC Surgery CurrentSince Sep 1, 2017 Accepting new patients
KC Bariatric, LLC Surgery Past Accepting new patients
Trinity Health Mid-Atlantic Medical Group Past Accepting new patients
Midwest Anesthesia Associates, PA Past Accepting new patients

Locations

1205 Langhorne Newtown Rd
Ste 106
Langhorne, PA 19047
Phone (215) 750-7442

Interoperability endpoints

  • Direct secure messaging: drck@kowalski.azalea.phimailbox.com
  • Direct secure messaging: christopher.kowalski@kowalskisurgicalcenter.chartmakerdirect.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.

Hospital & facility affiliations 1

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": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1144218181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 OXFORD VALLEY RD STE 701",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190677706",
            "telephone_number": "215-757-5131",
            "fax_number": "215-757-5870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 OXFORD VALLEY RD STE 701",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190677706",
            "telephone_number": "215-757-5131",
            "fax_number": "215-757-5870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALSKI",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "DC",
            "license": "MD32985",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA07422400",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "04-33691",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD420494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019587840004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PA",
            "identifier": "3193882",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE IBC",
            "identifier": "2185111000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE FIRST",
            "identifier": "30248666",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1496070",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7488482",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01515609",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "christopher.kowalski@kowalskisurgicalcenter.chartmakerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Kowalski Surgical Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "301 Oxford Valley Rd Ste 701",
            "city": "Yardley",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190677706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Yardley, PA

Sources for this page

Verify at the official NPI Registry.