Active NPI
Mark W Kovach, M.D.
- Clinical Cardiac Electrophysiology Physician
- Saint Peters, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- 036098054
- 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, 2026
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00062332 | Other | MEDICARE RAILROAD | |
| 036098054 | Medicaid | IL | |
| 2416040 | Medicaid | IA |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 8
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
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
- Owensboro Health Regional Hospital
- Southeast Health Medical Center
- Baylor Scott & White Medical Center - Temple
- Memorial Hospital
- Christian Hospital Northeast
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 28 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C5035 | KY | MD | Clinical Cardiac Electrophysiology Physician |
| 2025044853 | MO | MD | Clinical Cardiac Electrophysiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Iowa Hospital Corporation | Current | Accepting new patients | |
| Fairview Heights Medical Group SC | Current | Accepting new patients | |
| Scott & White Clinic | Family Medicine | Current | Accepting new patients |
| Central Iowa Hospital Corporation | Family Medicine | Current | Accepting new patients |
| Owensboro Health Medical Group, Inc | Current | 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 | Current | Accepting new patients |
| Genesis Health System | Current | Accepting new patients | |
| CGH Medical Center | Current | Accepting new patients | |
| Genesis Health System | Family Medicine | Current | Accepting new patients |
| Houston County Healthcare Authority | Family Medicine | Current | Accepting new patients |
| CGH Medical Center | Family Medicine | Current | Accepting new patients |
| Houston County Healthcare Authority | Family Medicine | Current | Accepting new patients |
| Genesis Health System | Current | Accepting new patients | |
| Scott & White Clinic | Family Medicine | Current | Accepting new patients |
| Fairview Heights Medical Group SC | Current | Accepting new patients | |
| Acclaim Physician Group, Inc | Internal Medicine | Current | Accepting new patients |
| Benefis Hospitals Inc | Current | Accepting new patients | |
| Benefis Hospitals, Inc. | Current | Accepting new patients | |
| CGH Medical Center | Current | Accepting new patients | |
| Genesis Health System | Current | Accepting new patients | |
| Cardiovascular Medicine PLLC | Cardiovascular Disease | Current | Accepting new patients |
| Southeast Alabama Medical Center Employee Pharmacy | Past | Accepting new patients | |
| Centracare Clinic | Past | Accepting new patients | |
| Physician Groups LC | Family Medicine | Past | 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
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
-
dba Samc-Enterprise Medical Clinic
- Internal Medicine Physician
- Enterprise, AL
- NPI 1619026606
Family Medicine
-
dba Baylor Scott & White Clinic - Temple
- Internal Medicine Physician
- Temple, TX
- NPI 1093779704
Family Medicine
-
dba Owensboro Health Muhlenberg Community Hospital Wound Center
- Surgery Physician
- Greenville, KY
- NPI 1235518242
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1780076562
-
dba Benefis Medical Group
- Multi-Specialty Clinic/Center
- Great Falls, MT
- NPI 1780968974
-
dba East Des Moines Family Care Center
- Family Medicine Physician
- Des Moines, IA
- NPI 1104879576
-
- General Acute Care Hospital
- Sterling, IL
- NPI 1902854623
-
dba Genesis Medical Center - Silvis
- General Acute Care Hospital
- Silvis, IL
- NPI 1427132604
-
dba Genesis Convenient Care Bettendorf
- Clinic/Center
- Bettendorf, IA
- NPI 1497772008
-
dba BJC Medical Group of Illinois
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1073022000
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1639186760
-
dba Christian Hospital
- Ambulance
- Saint Louis, MO
- NPI 1073769329
Hospital
-
dba Southeast Alabama Medical Center
- General Acute Care Hospital
- Dothan, AL
- NPI 1164403861
-
dba Owensboro Health Regional Hospital
- General Acute Care Hospital
- Owensboro, KY
- NPI 1285613612
-
dba Memorial Hospital
- General Acute Care Hospital
- Belleville, IL
- NPI 1982796181
-
dba Baylor Scott & White Medical Center - Temple
- General Acute Care Hospital
- Temple, TX
- NPI 1477516466
-
dba Kings's Daughters Hospital- Scott & White Healthcare
- General Acute Care Hospital
- Temple, TX
- NPI 1578502613
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; 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.