Active NPI
Kathryn Ann Polovitz, M.D.
- Internal Medicine Physician
- Parker, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2342
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
- Banner Wyoming Medical Center
- Alaska Regional Hospital
- Banner Casa Grande Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-1936 | IA | MD | Internal Medicine Physician |
| MD482797 | PA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Iowa Regional Medical Center, Inc. | Current | Accepting new patients | |
| Asante Physician Partners | Family Medicine | Current | Accepting new patients |
| Aurora Medical Group, Inc. | Family Medicine | Current | Accepting new patients |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| State University of Iowa | Family Medicine | Current | Accepting new patients |
| Aurora Medical Group, Inc. | Current | 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
- 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.
-
- Family Medicine Physician
- Medford, OR
- NPI 1922381326
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
Family Medicine
-
- Neurology with Special Qualifications in Child Neurology Physician
- Greenwood Village, CO
- NPI 1649886458
-
- General Practice Physician
- West Burlington, IA
- NPI 1164433884
CO
-
- Durable Medical Equipment & Medical Supplies
- Oshkosh, WI
- NPI 1326858044
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Milwaukee, WI
- NPI 1659599157
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Casa Grande, AZ
- NPI 1003232976
-
- General Acute Care Hospital
- Anchorage, AK
- NPI 1952348047
-
- General Acute Care Hospital
- Austin, TX
- NPI 1679528889
-
- General Acute Care Hospital
- Casper, WY
- NPI 1346332954
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
- Amanda Poindexter
- Polaris Partners Counseling and Consulting LLC
- Polaris Partners Counseling and Consulting LLC
- Polaris Partners Counseling and Consulting LLC
- Aaron Bryce Pollock, MD
- Ponderosa Counseling Center LLC
- Judy Carol Ponsford, NP NURSE PRACTITIONE
- Kaitlin Ponzio, MD
- Keri Poole
- Paola Porrone, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.