Edona Kovani, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5601008804 Issued in MI

Practice address

526 W Genesee St Ste 3
Frankenmuth, MI 48734-1357

Phone

(989) 652-7344

Fax

(989) 652-7355

NPI assigned

Oct 16, 2018

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Edona Vitija Former name

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lansing Urgent Care PLCGroup PAC ID 7214947902, 42 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Lansing Urgent Care PLC

  • Urgent Care Clinic/Center
  • Lansing, MI
  • NPI 1568688992
  Medicare reassignment Care Compare group
• Sports and Regenerative Medicine PLLC

  dba STEM Health Systems

  • Family Medicine Physician
  • Frankenmuth, MI
  • NPI 1013413236
  Medicare reassignment
• Lansing Urgent Care, PLC

  • Urgent Care Clinic/Center
  • Lansing, MI
  • NPI 1780987990
  NPD (past)

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1528534666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 W GENESEE ST STE 3",
            "city": "FRANKENMUTH",
            "state": "MI",
            "postal_code": "487341357",
            "telephone_number": "989-652-7344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 W GENESEE ST STE 3",
            "city": "FRANKENMUTH",
            "state": "MI",
            "postal_code": "487341357",
            "telephone_number": "989-652-7344",
            "fax_number": "989-652-7355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVANI",
        "first_name": "EDONA",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-16",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5601008804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDONA",
            "last_name": "VITIJA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Trisha Kabat, PA
• Sara Keller, ATC
• Kimberlyn King, DDS
• Kris Knieling, CPNP
• Kovacek Peterson Management LLC (Longterm Care Rehab Mangement Service LLC)
• Kroger Co of Michigan (Kroger Pharmacy)
• Jaron Lakey, PHARMD
• Kathryn Elizabeth Lawrence, RN
• James Robert Lennan, DDS
• Megan Marie Leser, PT, DPT

• Family Medicine Physician in Frankenmuth, MI
• Providers in Frankenmuth, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.

Verify at the official NPI Registry.