Active NPI
David O Kovacich, M.D.
- Cardiovascular Disease Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 01039429A
- Practice address
- 5330 E Stop 11 Rd
Indianapolis, IN 46237-6345 - Phone
- (317) 893-1900
- Fax
- (317) 893-1901
- NPI assigned
- Feb 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Heart Failure and Transplant Cardiology Physician | 207RA0001X | 01039429A | IN | |
| Cardiovascular Disease Physician | 207RC0000X | 01039429A | IN | Primary |
Addresses
Primary practice location
5330 E Stop 11 Rd
Indianapolis, IN 46237-6345
Mailing address
PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100102190A | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dkovacich7663@Direct.FranciscanAlliance.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Indiana University School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10767 Illinois St
Carmel, IN 46032-8972
Phone (317) 528-4800
1201 Hadley Rd
Mooresville, IN 46158-1737
Phone (317) 781-7381
1205 E Hadley Rd
Mooresville, IN 46158-1737
Phone (317) 831-9469
1205 Hadley Rd
Mooresville, IN 46158-1737
Phone (317) 781-7391
150 W Washington St
Shelbyville, IN 46176-1236
Phone (317) 865-5904
1704 Lafayette Rd
Crawfordsville, IN 47933-1071
2451 Intelliplex Dr
Suite 3
Shelbyville, IN 46176-8580
Phone (317) 528-2674
315 Dans Jones Rd
Suite 100
Plainfield, IN 46168-2817
Phone (317) 839-0970
315 N Dan Jones Rd
Plainfield, IN 46168-2817
4035 Mimosa Dr
Columbus, IN 47201-7200
Phone (317) 893-1900
5330 E Stop 11 Rd
Indianapolis, IN 46237-6345
Phone (317) 893-1900
8111 S Emerson Ave
Indianapolis, IN 46237-8601
Hospital & facility affiliations
- Franciscan Health Indianapolis
- Franciscan Health Mooresville
- Indiana University Health
- Major Hospital
- Columbus Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01039429A | IN | MD | Advanced Heart Failure and Transplant Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Physician Network | Current | Accepting new patients | |
| Franciscan Physician Network | Current | Accepting new patients | |
| Franciscan Physician Network | Current | Accepting new patients | |
| Major Hospital | Past | Accepting new patients | |
| Floyd County Memorial Hospital Commission | Past | Accepting new patients |
Locations
4035 Mimosa Dr
Columbus, IN 47201
Phone (317) 706-2361
1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120
1040 Sierra Dr
Ste 400
Greenwood, IN 46143
Phone (317) 528-4886
701 E County Line Rd
Ste 101
Greenwood, IN 46143
Phone (317) 885-2860
5330 E Stop 11 Rd
Indianapolis, IN 46237
Phone (317) 893-1920
234 E Southern Ave
Indianapolis, IN 46225
Phone (317) 781-9669
1201 Hadley Rd
Mooresville, IN 46158
Phone (317) 783-8148
315 N Dan Jones Rd
Ste 130
Plainfield, IN 46168
150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211
Interoperability endpoints
- dkovacich7663@direct.franciscanalliance.org
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1225327984
-
- Urgent Care Clinic/Center
- Mishawaka, IN
- NPI 1366879009
-
- Clinic/Center
- Lafayette, IN
- NPI 1992543250
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Critical Access Hospital
- Charles City, IA
- NPI 1265402390
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Columbus, IN
- NPI 1104998624
-
- General Acute Care Hospital
- Carmel, IN
- NPI 1376214981
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1386749893
-
- General Acute Care Hospital
- Mooresville, IN
- NPI 1679678197
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696809600000",
"number": "1447221981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 781076",
"city": "DETROIT",
"state": "MI",
"postal_code": "482781076",
"telephone_number": "317-528-4800",
"fax_number": "317-865-1479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5330 E STOP 11 RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462376345",
"telephone_number": "317-893-1900",
"fax_number": "317-893-1901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOVACICH",
"first_name": "DAVID",
"middle_name": "O",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-01",
"last_updated": "2023-10-09",
"certification_date": "2023-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RA0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
"state": "IN",
"license": "01039429A",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IN",
"license": "01039429A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100102190A",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dkovacich7663@Direct.FranciscanAlliance.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "5330 E Stop 11 Rd",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462376345",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.