NPIMap

Individual provider Active NPI

Edward Thomas Hovick, MD

  • Nephrology Physician
  • Phoenixville, PA
National Provider Identifier
1467440768
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD043801L Issued in PA
Practice address
824 Main St Ste 204
Phoenixville, PA 19460-4478
Phone
(610) 649-1175
Fax
(610) 983-3903
NPI assigned
Oct 11, 2005
Last updated
Sep 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD043801L PA Primary

Addresses

Primary practice location

824 Main St Ste 204
Phoenixville, PA 19460-4478

Mailing address

824 Main St Ste 204
Phoenixville, PA 19460-4478
Phone (610) 649-1175

Other identifiers 1

IdentifierTypeStateIssuer
0014122960001MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ehovick11932@direct.acumenmd.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110606000701 PA Practitioner - NephrologyPractitioner - Internal Medicine 4981753738 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Medical College of Pennsylvania, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kidney Care Specialists LLCGroup PAC ID 9931450079, 41 clinicians

Practice addresses (Care Compare)

1001 Reed Ave
Suite 410
Reading, PA 19610-2731
Phone (610) 258-3608

2223 E High St
Pottstown, PA 19464-3215
Phone (610) 649-1175

609 W Germantown Pike
Suite 210
East Norriton, PA 19403-4251
Phone (610) 649-1175

824 Main St
Suite 203
Phoenixville, PA 19460-4478
Phone (610) 649-1175

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD043801LPAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Care Specialists LLC Nephrology CurrentSince Apr 29, 2019 Accepting new patients
Phoenixville Hospital, LLC PastSince Oct 1, 2017 Accepting new patients

Locations

1230 S Cedar Crest Blvd
Ste 301
Allentown, PA 18103
Phone (610) 432-4873

2014 City Line Rd
Ste 103
Bethlehem, PA 18017
Phone (610) 433-4100

2000 Sproul Rd
Ste 300
Broomall, PA 19008
Phone (610) 356-3700

420 W Linfield Trappe Rd
Ste 100
Limerick, PA 19468
Phone (484) 938-4030

824 Main St
Ste 203
Phoenixville, PA 19460
Phone (610) 933-1133

824 Main St
Ste 204
Phoenixville, PA 19460
Phone (610) 933-8006

1105 Bethlehem Pike
#B5
Sellersville, PA 18960
Phone (215) 257-4533

100 E Lancaster Ave
Ste 130
Wynnewood, PA 19096
Phone (610) 649-8089

100 E Lancaster Ave
Ste 130W
Wynnewood, PA 19096

Interoperability endpoints

  • Direct secure messaging: ehovick11932@direct.acumenmd.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Phoenixville HospitalPhoenixville, PA, CCN 390127 Hospital Other Jan 1, 2022
Phoenixville HospitalPhoenixville, PA, CCN 39T127 Hospital Other Jul 10, 2023

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1467440768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 MAIN ST STE 204",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194604478",
            "telephone_number": "610-649-1175",
            "fax_number": "610-983-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 MAIN ST STE 204",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194604478",
            "telephone_number": "610-649-1175",
            "fax_number": "610-983-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOVICK",
        "first_name": "EDWARD",
        "middle_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD043801L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014122960001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ehovick11932@direct.acumenmd.com",
            "affiliation": "N",
            "address_1": "824 Main St Ste 204",
            "city": "Phoenixville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "194604478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenixville, PA

Sources for this page

Verify at the official NPI Registry.