Individual provider Active NPI

Kevin J Kovach, M.D.

  • Ophthalmology Physician
  • Elmhurst, IL
National Provider Identifier
1386643658
Registry record updated May 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036090975 Issued in IL
Practice address
152 N Addison Ave
Elmhurst, IL 60126
Phone
(630) 833-9621
Fax
(630) 833-9465
NPI assigned
Jul 19, 2005
Reactivated
Mar 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036090975 IL Primary

Addresses

Primary practice location

152 N Addison Ave
Elmhurst, IL 60126

Mailing address

152 N Addison Ave
Elmhurst, IL 60126-2821
Phone (630) 833-9621

Other identifiers 1

IdentifierTypeStateIssuer
180037523OtherILRAILROAD PALMETTO GBA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20071110000094 IL Practitioner - Ophthalmology 5193612828 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Loyola University of Chicago, Stritch School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kovach Eye Institute LTDGroup PAC ID 9032165071, 7 clinicians

Practice addresses (Care Compare)

152 N Addison Ave FL
Suite 1
Elmhurst, IL 60126-2821
Phone (630) 833-9621

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery774

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036090975ILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kovach Eye Institute, LTD Ophthalmology CurrentSince Jun 18, 2001 Accepting new patients
Fox Valley Laser Center PastSince Feb 6, 2012 Accepting new patients
Midwest Dry Eye Center LLC PastSince Oct 24, 2021 Accepting new patients

Locations

152 N Addison Ave
Elmhurst, IL 60126
Phone (630) 833-9621

152 N Addison Ave
Fl 1
Elmhurst, IL 60126
Phone (630) 833-9621

1300 N Arlington Heights Rd
Ste 160
Itasca, IL 60143

7250 N Cicero Ave
Ste 120
Lincolnwood, IL 60712
Phone (630) 793-4134

1960 Springbrook Square Dr
Ste 110
Naperville, IL 60564
Phone (630) 355-6222

100 W Higgins Rd
Unit H35
South Barrington, IL 60010
Phone (630) 793-4134

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526515200000",
    "number": "1386643658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 N ADDISON AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262821",
            "telephone_number": "630-833-9621",
            "fax_number": "630-833-9465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 N ADDISON AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "60126",
            "telephone_number": "630-833-9621",
            "fax_number": "630-833-9465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVACH",
        "first_name": "KEVIN",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2018-05-17",
        "deactivation_date": "2006-03-20",
        "reactivation_date": "2006-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036090975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD PALMETTO GBA",
            "identifier": "180037523",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

Verify at the official NPI Registry.