Individual provider Active NPI

Nicholas Robert Kovacs, MD

  • Emergency Medicine Physician
  • Bandon, OR
National Provider Identifier
1164927745
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
22967 Issued in NH
Practice address
900 11TH St SE
Bandon, OR 97411-9114
Phone
(541) 347-2426
NPI assigned
Mar 27, 2018
Last updated
Jul 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Emergency Medicine Physician 207P00000X 0101268619 VA
Emergency Medicine Physician 207P00000X 22967 NH Primary

Addresses

Primary practice location

900 11TH St SE
Bandon, OR 97411-9114

Mailing address

647 Beach St
Ashland, OR 97520-3217
Phone (802) 557-7583

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, NH, CA, OR4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20210825001124 VT Practitioner - Emergency Medicine 2769730324 Reassigns benefits to 2 organizations
I20221108002795 NH Practitioner - Emergency Medicine 2769730324 Reassigns benefits to 1 organization
I20241212002698 CA Practitioner - Emergency Medicine 2769730324 Reassigns benefits to 3 organizations
I20250602000301 OR Practitioner - Emergency Medicine 2769730324 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Vermont College of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Siskiyou Hospital IncGroup PAC ID 1254223134, 96 clinicians
Trinity Emergency PhysiciansGroup PAC ID 4284171166, 47 clinicians

Practice addresses (Care Compare)

444 Bruce St
Yreka, CA 96097-3450
Phone (530) 842-4121

525 W Acacia St
Stockton, CA 95203-2405
Phone (530) 244-5400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22967NHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Center, Inc CurrentSince Aug 1, 2021 Accepting new patients
Siskiyou Hospital, Inc. CurrentSince Jan 29, 2025 Accepting new patients
Southern Coos Health District CurrentSince Jul 5, 2025 Accepting new patients
Trinity Emergency Physicians Emergency Medicine CurrentSince Oct 23, 2024 Accepting new patients
Northwestern Medical Center, Inc. Current Accepting new patients
Northwestern Medical Center Inc CurrentSince Aug 1, 2021 Accepting new patients
Southern Coos Health District CurrentSince Jul 5, 2025 Accepting new patients
Asante CurrentSince Sep 29, 2025 Accepting new patients
Memorial Hospital Current Accepting new patients
Northwestern Medical Center, Inc. CurrentSince Aug 1, 2021 Accepting new patients
Asante Ashland Community Hospital, LLC CurrentSince Sep 29, 2025 Accepting new patients
Asante CurrentSince Sep 29, 2025 Accepting new patients
Asante Three Rivers Medical Center, LLC CurrentSince Sep 29, 2025 Accepting new patients

Locations

1100 Butte St
Redding, CA 96001
Phone (530) 227-6361

525 W Acacia St
Stockton, CA 95203
Phone (209) 944-5410

444 Bruce St
Yreka, CA 96097
Phone (530) 841-6256

3073 White Mountain Hwy
North Conway, NH 03860
Phone (603) 356-5472

280 Maple St
Ashland, OR 97520
Phone (541) 201-4000

900 11th St SE
Bandon, OR 97411
Phone (541) 237-2426

2825 E Barnett Rd
Medford, OR 97504
Phone (541) 282-6770

133 Fairfield St
Saint Albans, VT 05478
Phone (802) 524-1227

133 Fairfield St
Ste 102
Saint Albans, VT 05478
Phone (802) 524-5911

3 Crest Rd
Saint Albans, VT 05478
Phone (802) 524-4554

Interoperability endpoints

  • Direct secure messaging: nkovacs178544@direct.mmc.mainehealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1164927745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 BEACH ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975203217",
            "telephone_number": "802-557-7583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 11TH ST SE",
            "city": "BANDON",
            "state": "OR",
            "postal_code": "974119114",
            "telephone_number": "541-347-2426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVACS",
        "first_name": "NICHOLAS",
        "middle_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-27",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101268619",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NH",
            "license": "22967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bandon, OR

Sources for this page

Verify at the official NPI Registry.