Individual provider Active NPI

Mary Elizabeth Kownack

  • Obstetrics & Gynecology Physician
  • Detroit, MI
National Provider Identifier
1508210667
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101269146 Issued in VA
Practice address
3990 John R St
7-Brush N, Mail Box 165
Detroit, MI 48201-2018
Phone
(313) 993-4030
NPI assigned
Apr 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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 0101269146 VA Primary

Addresses

Primary practice location

3990 John R St
7-Brush N, Mail Box 165
Detroit, MI 48201-2018

Mailing address

611 Madison Ave Apt B
Charlottesville, VA 22903-2110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200811001216 VA Practitioner - Obstetrics/Gynecology 3971894064 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Virginia School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-Atlantic Womens Care PLCGroup PAC ID 8820998156, 98 clinicians

Practice addresses (Care Compare)

844 Kempsville Rd
Suite 210
Norfolk, VA 23502-3927
Phone (757) 461-6131

Hospital & facility affiliations

  • Sentara Leigh Hospital Hospital, Norfolk, VA, CCN 490046
  • Sentara Norfolk General Hospital Hospital, Norfolk, VA, CCN 490007
  • Sentara Princess Anne Hospital Hospital, Virginia Beach, VA, CCN 490119
  • Sentara Virginia Beach General Hospital Hospital, Virginia Beach, VA, CCN 490057

Merit-based Incentive Payment System (MIPS)

Final score
85.45 of 100Reported as group
Quality
76.15
Promoting interoperability
100
Improvement activities
40
Cost
75.34

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Atlantic Womens Care PLC CurrentSince Sep 1, 2020 Accepting new patients
Mid-Atlantic Womens Care PLC Past Accepting new patients
University Physician Group Past Accepting new patients

Locations

844 Kempsville Rd
Ste 210
Norfolk, VA 23502
Phone (757) 461-6131

880 Kempsville Rd
Ste 201
Norfolk, VA 23502
Phone (757) 461-3890

844 Kempsville Rd
Ste 208
Norfolk, VA 23502
Phone (757) 461-3890

828 Healthy Way
Ste 330
Virginia Beach, VA 23462
Phone (206) 895-4292

Interoperability endpoints

  • Direct secure messaging: mary.kownack.1@22824.direct.athenahealth.com

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.

Hospital & facility affiliations 5

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": "1460592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1508210667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 MADISON AVE APT B",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229032110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3990 JOHN R ST",
            "address_2": "7-BRUSH N, MAIL BOX 165",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012018",
            "telephone_number": "313-993-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWNACK",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-14",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101269146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.