Adam Alexander Kolawa, MD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

3855 Health Sciences Dr # 829
La Jolla, CA 92093-1029

Phone

(858) 657-5281

Fax

(858) 657-5348

NPI assigned

Apr 15, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1225619901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3855 HEALTH SCIENCES DR # 829",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920931503",
            "telephone_number": "858-657-5281",
            "fax_number": "858-657-5348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 HEALTH SCIENCES DR # 829",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920931029",
            "telephone_number": "858-657-5281",
            "fax_number": "858-657-5348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLAWA",
        "first_name": "ADAM",
        "middle_name": "ALEXANDER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-15",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Collan Lee Koeppen, D.C.
• Diane Kay Koester, RN, NP
• Steve Sang -Hyun Koh, M.D
• Roya Kohani, M.D.
• Mark E Kohout, CCC-SLP
• Danielle Kolb, SLP
• Alexa P. Kollmeier, M.D.
• Kevin Paul Kolostyak, MD
• Nikolai V Kolotiniuk, M.D.
• Kolstad Plastic Surgery, Inc

• Student in an Organized Health Care Education/Training Program in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.