Individual provider Active NPI

Carla Patricia Kovacs, MD

  • Obstetrics & Gynecology Physician
  • Renton, WA
National Provider Identifier
1437168002
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD60095470 Issued in WA
Practice address
4011 Talbot Rd S
Sute 430
Renton, WA 98055-5773
Phone
(425) 251-3454
Fax
(425) 264-3201
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD60095470 WA Primary

Addresses

Primary practice location

4011 Talbot Rd S
Sute 430
Renton, WA 98055-5773

Mailing address

4011 Talbot Rd S
Sute 430
Renton, WA 98055-5773
Phone (425) 251-3454

Other practice location 1

916 N 10th Pl Spc B
Renton, WA 98057-5540
Phone (425) 391-5770

Other identifiers 1

IdentifierTypeStateIssuer
1437168002MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Health Services Obstetrics & Gynecology CurrentSince Jul 5, 2021 Accepting new patients
Unpaused Care Current Accepting new patients
Valley Medical Group-Renton CurrentSince Apr 15, 2018 Accepting new patients

Locations

16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971

7320 216th St SW
Ste 310
Edmonds, WA 98026
Phone (425) 673-3800

4011 Talbot Rd S
Ste 430
Renton, WA 98055
Phone (206) 575-4717

400 S 43rd St
Renton, WA 98055
Phone (425) 228-3450

916 N 10th Pl
Spc B
Renton, WA 98057
Phone (425) 391-5770

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

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.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1437168002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 TALBOT RD S",
            "address_2": "SUTE 430",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555773",
            "telephone_number": "425-251-3454",
            "fax_number": "425-264-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 TALBOT RD S",
            "address_2": "SUTE 430",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555773",
            "telephone_number": "425-251-3454",
            "fax_number": "425-264-3201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "916 N 10th Pl Spc B",
            "address_purpose": "LOCATION",
            "city": "Renton",
            "state": "WA",
            "postal_code": "980575540",
            "country_code": "US",
            "telephone_number": "425-391-5770",
            "fax_number": "425-391-5771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOVACS",
        "first_name": "CARLA",
        "middle_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "MD60095470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437168002",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

Verify at the official NPI Registry.