NPIMap

Individual provider Active NPI

Karen A Kovalow-St. John, M.D.

  • Rheumatology Physician
  • San Luis Obispo, CA
National Provider Identifier
1336146281
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
01037613A Issued in IN
Practice address
77 Casa St Ste 101
San Luis Obispo, CA 93405-5804
Phone
(661) 695-8385
Fax
(661) 679-6801
NPI assigned
Jul 7, 2005
Last updated
Sep 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 01037613A IN Primary

Addresses

Primary practice location

77 Casa St Ste 101
San Luis Obispo, CA 93405-5804

Mailing address

8329 Brimhall Rd Ste 801
Bakersfield, CA 93312-2243
Phone (661) 695-8385

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210119001736 CA Practitioner - Rheumatology 4284606690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Indiana University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rheumatology Services Medical GroupGroup PAC ID 2264685270, 9 clinicians

Practice addresses (Care Compare)

77 Casa St
Suite 101
San Luis Obispo, CA 93405-5804
Phone 6616958385118

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84 of 100Reported as group
Quality
70.73
Promoting interoperability
100
Improvement activities
40
Cost
68.48

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rheumatology Services Medical Group Rheumatology CurrentSince Mar 1, 2021 Accepting new patients
Healthpartners Medical Group, LLC Past Accepting new patients
Rheumatology Services Medical Group PastSince Sep 23, 2021 Accepting new patients

Locations

3737 San Dimas St
Ste 101
Bakersfield, CA 93301
Phone (661) 327-5037

8329 Brimhall Rd
Ste 801
Bakersfield, CA 93312
Phone (661) 695-8385

77 Casa St
Ste 101
Sn Luis Obisp, CA 93405
Phone (661) 695-8385

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GCEGAA

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.

Hospital & facility affiliations 4

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1336146281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8329 BRIMHALL RD STE 801",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122243",
            "telephone_number": "661-695-8385",
            "fax_number": "661-679-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 CASA ST STE 101",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934055804",
            "telephone_number": "661-695-8385",
            "fax_number": "661-679-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVALOW-ST. JOHN",
        "first_name": "KAREN",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2021-09-14",
        "certification_date": "2021-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "IN",
            "license": "01037613A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.