Adam E Kovalski, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

001432 Issued in CT

Practice address

445 S Main St
West Hartford, CT 06110-1646

Phone

(860) 696-2200

Fax

(860) 561-7272

NPI assigned

Mar 20, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northeastern Pulmonary Associates LLCGroup PAC ID 6608866983, 5 clinicians

Prohealth Physicians PCGroup PAC ID 1355246950, 214 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Manchester Memorial Hospital Hospital, Manchester, CT, CCN 070027

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: adam.kovalski.npi1316906258.phpct@direct.optumcare.masshiway.net

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.

• Northeastern Pulmonary Associates LLC

  • Pulmonary Disease Physician
  • Vernon, CT
  • NPI 1730134305
  Medicare reassignment Care Compare group
• Prohealth Physicians PC

  • Family Medicine Physician
  • Farmington, CT
  • NPI 1720194053
  Medicare reassignment Care Compare group
• Hartford Physician Services PC

  • Internal Medicine Physician
  • Hartford, CT
  • NPI 1164404117
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Manchester Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Manchester, CT
  • NPI 1881564664
  Care Compare affiliation

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371168000000",
    "number": "1316906258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 S MAIN ST",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061101646",
            "telephone_number": "860-696-2200",
            "fax_number": "860-561-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 S MAIN ST",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061101646",
            "telephone_number": "860-696-2200",
            "fax_number": "860-561-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVALSKI",
        "first_name": "ADAM",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2013-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "001432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1316906258",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Piotr Korwek, PT
• Lori Lynn Korwin, PSYD
• Marci B. Korwin, PHD
• Evan P Kosilla
• Jonathan A Kost, M.D.
• Shaina Kraus, ATC
• Kevin C. Krebsbach, M.D.
• Deborah Krevalin
• Kristin Koberstein, LMFT, LLC
• Kristina J. Chomick, LMFT - Therapy, Supervision and Consulting SVCS

• Medical Physician Assistant in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Medical Physician Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.