Individual provider Active NPI

Kurt Kriztofer Kovalovich, DPM

  • Primary Podiatric Medicine Podiatrist
  • Pine Grove, PA
National Provider Identifier
1316945496
Registry record updated Nov 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
SC003328R Issued in PA
Practice address
185 S Tulpehocken St
Pine Grove, PA 17963-1029
Phone
(570) 345-6301
Fax
(570) 345-2626
NPI assigned
Jul 12, 2005
Last updated
Nov 30, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X SC003328R PA Primary

Addresses

Primary practice location

185 S Tulpehocken St
Pine Grove, PA 17963-1029

Mailing address

PO Box 167
185 S Tulpehocken St
Pine Grove, PA 17963-0167
Phone (570) 345-6301

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050803001030 PA Practitioner - Podiatry 5597793158 Practice locations: Pine Grove, PA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

185 S Tulpehocken St
Pine Grove, PA 17963-1029
Phone (570) 345-4999

Merit-based Incentive Payment System (MIPS)

Final score
50.88 of 100Reported as individual
Quality
51.67
Promoting interoperability
18
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue74
Removal of skin lesions30
Removal of nail tissue1373
Removal or shaving of skin growth1177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
HCR Manorcare Medical Services of Florida LLC Past Accepting new patients
Achieva Rehabilitation LLC PastSince Jun 1, 2012 Accepting new patients
Powerback Rehabilitation LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kurt.kovalovich.1@31328.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259539200000",
    "number": "1316945496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 167",
            "address_2": "185 S TULPEHOCKEN ST",
            "city": "PINE GROVE",
            "state": "PA",
            "postal_code": "179630167",
            "telephone_number": "570-345-6301",
            "fax_number": "570-345-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 S TULPEHOCKEN ST",
            "city": "PINE GROVE",
            "state": "PA",
            "postal_code": "179631029",
            "telephone_number": "570-345-6301",
            "fax_number": "570-345-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVALOVICH",
        "first_name": "KURT",
        "middle_name": "KRIZTOFER",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2009-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "PA",
            "license": "SC003328R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Grove, PA

Sources for this page

Verify at the official NPI Registry.