NPIMap

Individual provider Active NPI

Christopher P Kovach, MD

  • Interventional Cardiology Physician
  • Colorado Springs, CO
National Provider Identifier
1396134243
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
DR.0072207 Issued in CO
Practice address
1625 Medical Center PT
Colorado Springs, CO 80907-8731
Phone
(719) 960-0363
Fax
(719) 413-0363
NPI assigned
Jan 15, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD60748520 WA
Internal Medicine Physician 207R00000X DR.0072207 CO
Cardiovascular Disease Physician 207RC0000X DR.0072207 CO
Interventional Cardiology Physician 207RI0011X DR.0072207 CO Primary
Interventional Cardiology Physician 207RI0011X MD19100 RI

Addresses

Primary practice location

1625 Medical Center PT
Colorado Springs, CO 80907-8731

Mailing address

1625 Medical Center PT Ste 200
Colorado Springs, CO 80907-5748
Phone (719) 960-0363

Other practice location 1

164 Summit Ave
Providence, RI 02906-2894
Phone (401) 793-4102

Other practice location 2

13001 E 17th Pl
Aurora, CO 80045-2570
Phone (720) 848-0000

Other practice location 3

1959 NE Pacific St
Seattle, WA 98195-1532
Phone (206) 520-5000

Other identifiers 4

IdentifierTypeStateIssuer
1396134243MedicaidWA
DR.0072207OtherCOMEDICAL LICENSE
1396134243MedicaidCO
MD19100OtherRIMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20200501001772 CO Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 4688982671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Northwestern University Feinberg Medical School, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
CS Cardiology Newco LLCGroup PAC ID 2365805736, 46 clinicians

Practice addresses (Care Compare)

7435 Sisters GRV
Suite 100
Colorado Springs, CO 80923-2628
Phone (719) 960-0363

Hospital & facility affiliations

  • Centura Health-Penrose St Francis Health Services Hospital, Colorado Springs, CO, CCN 060031
  • St Mary-Corwin Hospital Hospital, Pueblo, CO, CCN 060012
  • St Francis Hospital - Interquest Hospital, Colorado Springs, CO, CCN 060133
  • Parkview Medical Center, Inc Hospital, Pueblo, CO, CCN 060020
  • Uch-Memorial Health System Hospital, Colorado Springs, CO, CCN 060022

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting28
Pacemaker insertion or repair1-10
Varicose vein removal30
Leg revascularization (restoring blood flow)24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0072207COMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CS Cardiology Newco LLC Cardiovascular Disease Current Accepting new patients
CS Cardiology Newco LLC Cardiovascular Disease CurrentSince May 31, 2024 Accepting new patients
CS Cardiology Newco LLC Cardiovascular Disease CurrentSince May 31, 2024 Accepting new patients
CS Cardiology Newco LLC Cardiovascular Disease Past Accepting new patients

Locations

1625 Medical Center Pt
Ste 240
Colorado Springs, CO 80907
Phone (719) 577-9063

1625 Medical Center Pt
Ste 200
Colorado Springs, CO 80907
Phone (719) 630-3276

1625 Medical Center Pt
Ste 210
Colorado Springs, CO 80907
Phone (708) 289-4757

904 E Hailey Ln
Ste C
Pueblo West, CO 81007

Organizations & group practices 4

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 31

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1421280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1396134243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 MEDICAL CENTER PT STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809075748",
            "telephone_number": "719-960-0363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 MEDICAL CENTER PT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809078731",
            "telephone_number": "719-960-0363",
            "fax_number": "719-413-0363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "164 Summit Ave",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029062894",
            "country_code": "US",
            "telephone_number": "401-793-4102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13001 E 17th Pl",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800452570",
            "country_code": "US",
            "telephone_number": "720-848-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1959 NE Pacific St",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981951532",
            "country_code": "US",
            "telephone_number": "206-520-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOVACH",
        "first_name": "CHRISTOPHER",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-15",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD60748520",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR.0072207",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CO",
            "license": "DR.0072207",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CO",
            "license": "DR.0072207",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "RI",
            "license": "MD19100",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396134243",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "DR.0072207",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396134243",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MD19100",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.