Individual provider Active NPI

Spencer J Kovar, PA

  • Physician Assistant
  • Novi, MI
National Provider Identifier
1417447848
Registry record updated Feb 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601008660 Issued in MI
Practice address
27204 Beck Rd
Novi, MI 48374-1348
Phone
(248) 513-3719
NPI assigned
May 10, 2018
Last updated
Feb 1, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601008660 MI Primary

Addresses

Primary practice location

27204 Beck Rd
Novi, MI 48374-1348

Mailing address

7125 Orchard Lake Rd Ste 101
West Bloomfield, MI 48322-3616
Phone (248) 865-7481

Other practice location 1

29531 Plymouth Rd
Livonia, MI 48150-2125
Phone (734) 525-7939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180605003429 MI Practitioner - Physician Assistant 3375808728 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Urgent CareGroup PAC ID 6901296110, 111 clinicians

Practice addresses (Care Compare)

15717 15 Mile Rd
Clinton Township, MI 48035-2101
Phone (586) 285-3800

16258 Fort St
Southgate, MI 48195-1401
Phone (734) 250-9062

21435 Greater Mack Ave
Saint Clair Shores, MI 48080-2304
Phone (586) 298-1927

26763 Ford Rd
Dearborn Heights, MI 48127-2840
Phone (313) 827-1022

27897 Woodward Ave
Berkley, MI 48072-0907
Phone (248) 397-6196

29531 Plymouth Rd
Livonia, MI 48150-2125
Phone (734) 237-7037

29613 7 Mile Rd
Livonia, MI 48152-1909
Phone (734) 743-2579

30795 23 Mile Rd
Chesterfield, MI 48047-5720
Phone (586) 421-3000

40463 S Groesbeck Hwy
Clinton Township, MI 48036-5005
Phone (586) 300-9114

43821 Ford Rd
Canton, MI 48187-3122
Phone (800) 653-6865

6901 Orchard Lake Rd
West Bloomfield, MI 48322-3416
Phone (248) 671-3074

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstreet Urgent Care of Michigan PastSince Aug 6, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: skovar448069@direct.hfhs.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1525910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548979200000",
    "number": "1417447848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7125 ORCHARD LAKE RD STE 101",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223616",
            "telephone_number": "248-865-7481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27204 BECK RD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741348",
            "telephone_number": "248-513-3719"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29531 Plymouth Rd",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481502125",
            "country_code": "US",
            "telephone_number": "734-525-7939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOVAR",
        "first_name": "SPENCER",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-10",
        "last_updated": "2019-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601008660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.