Active NPI
Brian Andrew Kovacs
- Student in an Organized Health Care Education/Training Program
- Louisville, KY
National Provider Identifier
1306691183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- Internal Medicine Residency Training Program
550 South Jackson Street, Acb 3Rd Floor
Louisville, KY 40202 - Phone
- (502) 852-5666
- NPI assigned
- Apr 23, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
Internal Medicine Residency Training Program
550 South Jackson Street, Acb 3Rd Floor
Louisville, KY 40202
Mailing address
Internal Medicine Residency Training Program
550 South Jackson Street, Acb 3Rd Floor
Louisville, KY 40202-1622
Phone (502) 852-5666
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250823000434 | KY | Order and Referring Only - Internal Medicine | 4486154515 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713830400000",
"number": "1306691183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "INTERNAL MEDICINE RESIDENCY TRAINING PROGRAM",
"address_2": "550 SOUTH JACKSON STREET, ACB 3RD FLOOR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021622",
"telephone_number": "502-852-5666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "INTERNAL MEDICINE RESIDENCY TRAINING PROGRAM",
"address_2": "550 SOUTH JACKSON STREET, ACB 3RD FLOOR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "40202",
"telephone_number": "502-852-5666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOVACS",
"first_name": "BRIAN",
"middle_name": "ANDREW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-04-23",
"last_updated": "2024-04-23",
"certification_date": "2024-04-16",
"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": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.