Individual provider Active NPI

Mark W Kovach, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Saint Peters, MO
National Provider Identifier
1336128222
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
036098054 Issued in IL
Practice address
201 BJC Saint Peters Dr Ste 200
Saint Peters, MO 63376-3386
Phone
(636) 916-9615
Fax
(636) 916-9850
NPI assigned
Jan 10, 2006
Last updated
Mar 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X C5035 KY
Clinical Cardiac Electrophysiology Physician 207RC0001X 2025044853 MO
Clinical Cardiac Electrophysiology Physician 207RC0001X 036098054 IL Primary
Clinical Cardiac Electrophysiology Physician 207RC0001X V4257 TX
Clinical Cardiac Electrophysiology Physician 207RC0001X 159182 MT

Addresses

Primary practice location

201 BJC Saint Peters Dr Ste 200
Saint Peters, MO 63376-3386

Mailing address

PO Box 959354
Saint Louis, MO 63195-9354
Phone (636) 916-9615

Other practice location 1

1230 E 1st St
Casper, WY 82601-2704
Phone (800) 445-3501

Other practice location 2

1300 28th St S Fl 2
Great Falls, MT 59405-5296
Phone (406) 455-5000

Other practice location 3

2401 S 31st St
Temple, TX 76508-2704
Phone (254) 724-2111

Other identifiers 3

IdentifierTypeStateIssuer
P00062332OtherMEDICARE RAILROAD
036098054MedicaidIL
2416040MedicaidIA

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address mkovach771095@direct.centracare.com Direct
Direct Messaging Address mkovach1361835@direct.sw.org Direct
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2 Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA, MN, TX, MT, AL, MO, KY8 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 8

Enrollment IDStateProvider typePAC IDDetails
I20040124000148 IL Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 1850293366 Reassigns benefits to 4 organizations
I20040513001050 IA Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 1850293366 Reassigns benefits to 3 organizations
I20231017001220 MN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Cardiac Electrophysiology 1850293366
I20241220003531 TX Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 1850293366 Reassigns benefits to 2 organizations
I20250721000997 MT Practitioner - Cardiac Electrophysiology 1850293366 Reassigns benefits to 1 organization
I20251014003065 AL Practitioner - Cardiac Electrophysiology 1850293366 Reassigns benefits to 1 organization
I20260227000299 MO Practitioner - Cardiac Electrophysiology 1850293366 Reassigns benefits to 1 organization
I20260312000435 KY Practitioner - Cardiac Electrophysiology 1850293366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Electrophysiology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairview Heights Medical Group SCGroup PAC ID 6800784083, 448 clinicians
Scott and White ClinicGroup PAC ID 8123923604, 2,426 clinicians

Practice addresses (Care Compare)

1 Memorial Dr
Alton, IL 62002-6722
Phone (618) 463-7240

102 Doctors Dr
Dothan, AL 36301-2911
Phone (334) 793-6573

11133 Dunn Rd
Saint Louis, MO 63136-6163
Phone (314) 653-5643

11155 Dunn Rd
Suite 109N
Saint Louis, MO 63136-6148
Phone (314) 953-8799

1225 Graham Rd
Suite 1220B
Florissant, MO 63031-8012
Phone (618) 466-6616

1301 Pleasant Valley Rd
Suite 202
Owensboro, KY 42303-9774
Phone (270) 417-7500

1404 Cross St
Shiloh, IL 62269-2988
Phone (618) 607-3055

1418 Cross St
Suite 350
Shiloh, IL 62269-2988
Phone (618) 607-3900

1605 S 31St St
Baylor Scott and White Center for Dia
Temple, TX 76508-0001
Phone (254) 215-0100

2401 S 31 St
Temple, TX 76508-0001
Phone (254) 724-2459

2401 S 31St St BLDG
35 Baylor Scott and White Roney Bone and
Temple, TX 76508-0001
Phone (254) 724-2663

4500 Memorial Dr
Belleville, IL 62226-5360
Phone (618) 257-6220

4600 Memorial Dr
Belleville, IL 62226-5359

810 W U Ave
Temple, TX 76508-0001
Phone (254) 724-2585

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C5035KYMDClinical Cardiac Electrophysiology Physician
2025044853MOMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Iowa Hospital Corporation CurrentSince Aug 5, 2024 Accepting new patients
Fairview Heights Medical Group SC CurrentSince Feb 2, 2026 Accepting new patients
Scott & White Clinic Family Medicine Current Accepting new patients
Central Iowa Hospital Corporation Family Medicine CurrentSince Aug 5, 2024 Accepting new patients
Owensboro Health Medical Group, Inc CurrentSince Feb 27, 2026 Accepting new patients
Monument Health Rapid City Hospital, Inc Current Accepting new patients
Houston County Healthcare Authority Internal Medicine Current Accepting new patients
Owensboro Health Medical Group Inc Internal Medicine CurrentSince Feb 27, 2026 Accepting new patients
Genesis Health System CurrentSince Jul 1, 2006 Accepting new patients
CGH Medical Center CurrentSince Feb 18, 2019 Accepting new patients
Genesis Health System Family Medicine Current Accepting new patients
Houston County Healthcare Authority Family Medicine CurrentSince Oct 1, 2025 Accepting new patients
CGH Medical Center Family Medicine CurrentSince Feb 18, 2019 Accepting new patients
Houston County Healthcare Authority Family Medicine Current Accepting new patients
Genesis Health System CurrentSince Jul 1, 2006 Accepting new patients
Scott & White Clinic Family Medicine CurrentSince Dec 17, 2024 Accepting new patients
Fairview Heights Medical Group SC CurrentSince Feb 2, 2026 Accepting new patients
Acclaim Physician Group, Inc Internal Medicine CurrentSince Mar 10, 2026 Accepting new patients
Benefis Hospitals Inc CurrentSince Jul 15, 2025 Accepting new patients
Benefis Hospitals, Inc. CurrentSince Jul 15, 2025 Accepting new patients
CGH Medical Center Current Accepting new patients
Genesis Health System CurrentSince Jul 1, 2006 Accepting new patients
Cardiovascular Medicine PLLC Cardiovascular Disease CurrentSince Aug 1, 2003 Accepting new patients
Southeast Alabama Medical Center Employee Pharmacy Past Accepting new patients
Centracare Clinic Past Accepting new patients
Physician Groups LC Family Medicine PastSince Dec 28, 2025 Accepting new patients
Mountain Heart Medical Practice PLLC Cardiovascular Disease Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

102 Doctors Dr
Dothan, AL 36301
Phone (334) 793-8804

1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635

410 NW Ash Dr
Ankeny, IA 50023
Phone (515) 964-1101

1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160

1236 E Rusholme St
Ste 300
Davenport, IA 52803
Phone (319) 324-2992

1401 W Central Park Ave
Davenport, IA 52804
Phone (563) 421-1900

1215 Pleasant St
Ste 414
Des Moines, IA 50309
Phone (515) 241-5700

1301 Pennsylvania Ave
Ste 100
Des Moines, IA 50316
Phone (515) 263-2400

1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240

210 W Elk St
Geneseo, IL 61254
Phone (309) 743-6700

1100 36th Ave
Moline, IL 61265
Phone (309) 743-6700

350 John Deere Rd
Moline, IL 61265
Phone (309) 743-6700

801 Illini Dr
Silvis, IL 61282
Phone (309) 281-4000

101 E Miller Rd
Sterling, IL 61081
Phone (815) 632-5285

1301 Pleasant Valley Rd
Ste 202
Owensboro, KY 42303
Phone (270) 417-7500

11155 Dunn Rd
Ste 109N
Saint Louis, MO 63136
Phone (314) 837-3784

201 Bjc Saint Peters Dr
Ste 200
Saint Peters, MO 63376
Phone (636) 916-9615

1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690

1300 28th St S
Fl 2
Great Falls, MT 59405
Phone (406) 455-4320

1300 28th St S
Ste 2
Great Falls, MT 59405
Phone (406) 731-2362

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: mkovach771095@direct.centracare.com

Organizations & group practices 30

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 30

Hospital & facility affiliations 7

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": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1336128222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 959354",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631959354",
            "telephone_number": "636-916-9615",
            "fax_number": "636-916-9850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 BJC SAINT PETERS DR STE 200",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633763386",
            "telephone_number": "636-916-9615",
            "fax_number": "636-916-9850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1230 E 1st St",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "826012704",
            "country_code": "US",
            "telephone_number": "800-445-3501",
            "fax_number": "307-266-3177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 28th St S Fl 2",
            "address_purpose": "LOCATION",
            "city": "Great Falls",
            "state": "MT",
            "postal_code": "594055296",
            "country_code": "US",
            "telephone_number": "406-455-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2401 S 31st St",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "765082704",
            "country_code": "US",
            "telephone_number": "254-724-2111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOVACH",
        "first_name": "MARK",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "KY",
            "license": "C5035",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "MO",
            "license": "2025044853",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "IL",
            "license": "036098054",
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "TX",
            "license": "V4257",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "MT",
            "license": "159182",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00062332",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036098054",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2416040",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkovach771095@direct.centracare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "mkovach771095@direct.centracare.com",
            "address_1": "1200 6th Ave N",
            "city": "Saint Cloud",
            "state": "MN",
            "country_code": "US",
            "postal_code": "563032735",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkovach1361835@direct.sw.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2401 S 31st St",
            "city": "Temple",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765082704",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "201 Bjc Saint Peters Dr Ste 200",
            "city": "Saint Peters",
            "state": "MO",
            "country_code": "US",
            "postal_code": "633763386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

Verify at the official NPI Registry.