Active NPI
Donald J Kovacs, M.D.
- Family Medicine Physician
- Boiling Springs, PA
National Provider Identifier
1508891375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD019734E
- Practice address
- 1358 Lutztown Rd
Boiling Springs, PA 17007-9302 - Phone
- (717) 258-3274
- Fax
- (717) 258-0311
- NPI assigned
- Jul 11, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD019734E | PA | Primary |
Addresses
Primary practice location
1358 Lutztown Rd
Boiling Springs, PA 17007-9302
Mailing address
1358 Lutztown Rd
Boiling Springs, PA 17007-9302
Phone (717) 258-3274
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0571289 | Medicaid | PA | |
| 01475201 | Other | PA | CAPITAL BLUE CROSS |
| 4341543 | Other | PA | AETNA |
| KO060936 | Other | PA | HIGHMARK BLUE SHIELD |
| 390222 | Other | PA | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197849600000",
"number": "1508891375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1358 LUTZTOWN RD",
"city": "BOILING SPRINGS",
"state": "PA",
"postal_code": "170079302",
"telephone_number": "717-258-3274",
"fax_number": "717-258-0311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1358 LUTZTOWN RD",
"city": "BOILING SPRINGS",
"state": "PA",
"postal_code": "170079302",
"telephone_number": "717-258-3274",
"fax_number": "717-258-0311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOVACS",
"first_name": "DONALD",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2007-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD019734E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0571289",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "01475201",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4341543",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "KO060936",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "390222",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boiling Springs, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.