Individual provider Active NPI

Kathryn Ann Polovitz, M.D.

  • Internal Medicine Physician
  • Parker, CO
National Provider Identifier
1457557191
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2342 Issued in CO
Practice address
9235 Crown Crest Blvd
Suite 200
Parker, CO 80138-8880
Phone
(303) 840-5051
NPI assigned
Jun 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2342 CO Primary
Internal Medicine Physician 207R00000X MD-1936 IA
Neurology Physician 2084N0400X MD482797 PA
Neurology Physician 2084N0400X MD-1936 IA

Addresses

Primary practice location

9235 Crown Crest Blvd
Suite 200
Parker, CO 80138-8880

Mailing address

9235 Crown Crest Blvd
Suite 200
Parker, CO 80138-8880
Phone (303) 840-5051

Other practice location 1

228 Saint Charles Way Ste 200
York, PA 17402-4661
Phone (717) 851-5503

Other practice location 2

500 E Market St
Iowa City, IA 52245-2633
Phone (319) 339-3551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, WI, OR3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20120803000095 CO Practitioner - Neurology 3678729878 Reassigns benefits to 3 organizations
I20240710003181 WI Practitioner - Neurology 3678729878 Reassigns benefits to 1 organization
I20240909002934 OR Practitioner - Neurology 3678729878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of North Dakota School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Asante Physician PartnersGroup PAC ID 8325206246, 227 clinicians
Blue Sky Telehealth LLCGroup PAC ID 5395155964, 71 clinicians
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians

Practice addresses (Care Compare)

280 Maple St
Ashland, OR 97520-1552
Phone (541) 201-4000

500 County Rd
Suite 742
Almont, CO 81210-9990
Phone (385) 286-4862

855 N Westhaven Dr
Oshkosh, WI 54904-7668
Phone (920) 303-8700

Hospital & facility affiliations

  • St David'S South Austin Medical Center Hospital, Austin, TX, CCN 450713
  • Banner Wyoming Medical Center Hospital, Casper, WY, CCN 530012
  • Alaska Regional Hospital Hospital, Anchorage, AK, CCN 020017
  • Banner Casa Grande Medical Center Hospital, Casa Grande, AZ, CCN 030016

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-1936IAMDInternal Medicine Physician
MD482797PAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Iowa Regional Medical Center, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Asante Physician Partners Family Medicine CurrentSince Jun 13, 2024 Accepting new patients
Aurora Medical Group, Inc. Family Medicine Current Accepting new patients
Aurora Medical Group, Inc. CurrentSince Apr 30, 2024 Accepting new patients
State University of Iowa Family Medicine CurrentSince Jan 31, 2024 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Apr 30, 2024 Accepting new patients

Locations

500 E Market St
Iowa City, IA 52245
Phone (319) 339-0300

200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-1616

280 Maple St
Ashland, OR 97520
Phone (541) 201-4000

625 SW Ramsey Ave
Ste A
Grants Pass, OR 97527
Phone (541) 474-5004

2825 E Barnett Rd
Medford, OR 97504
Phone (541) 282-6770

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

855 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 451-5643

Interoperability endpoints

  • Direct secure messaging: kpolovitz393424@direct.myadvocateaurora.org

Organizations & group practices 7

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 4

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": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1457557191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9235 CROWN CREST BLVD",
            "address_2": "SUITE 200",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801388880",
            "telephone_number": "303-840-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9235 CROWN CREST BLVD",
            "address_2": "SUITE 200",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801388880",
            "telephone_number": "303-840-5051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "228 Saint Charles Way Ste 200",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174024661",
            "country_code": "US",
            "telephone_number": "717-851-5503",
            "fax_number": "717-851-5507",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 E Market St",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522452633",
            "country_code": "US",
            "telephone_number": "319-339-3551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLOVITZ",
        "first_name": "KATHRYN",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-21",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "2342",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "MD-1936",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD482797",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IA",
            "license": "MD-1936",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

Verify at the official NPI Registry.