NPIMap

Individual provider Active NPI

Teresa D Kowalczyk, MD

  • Gynecology Physician
  • Greenville, TX
National Provider Identifier
1538170261
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
K4932 Issued in TX
Practice address
4221 Ridgecrest Rd
Suite 109
Greenville, TX 75402-6005
Phone
(903) 455-9582
Fax
(903) 455-5689
NPI assigned
Aug 10, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X K4932 TX Primary

Addresses

Primary practice location

4221 Ridgecrest Rd
Suite 109
Greenville, TX 75402-6005

Mailing address

4221 Ridgecrest
Suite 109
Greenville, TX 75402
Phone (903) 455-9582

Other identifiers 1

IdentifierTypeStateIssuer
752941533OtherTXTAX IDENTIFICATION NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110927000336 TX Practitioner - Obstetrics/Gynecology 5395747794 Reassigns benefits to 1 organization
O20071005000615 TX Part A Provider - Hospital 5597850404 9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Rockwall, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1538170261. Details of each certification follow.

Hospital certification: CCN 670044

Legal name
ROCKWALL REGIONAL HOSPITAL, LLC
Doing business as
TEXAS HEALTH HOSPITAL ROCKWALL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Apr 4, 2008
Last certification
Sep 6, 2019
Beds
61 (33 certified)
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Sep 11, 2007 in TX
Enrollment address
3150 Horizon Rd
Rockwall, TX 75032-7805
Main/Primary Hospital Location
Hospital subgroups
General

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Texas Health Presbyterian Hospital RockwallCCN 670044 · All quality measures
Overall star rating
5 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4221 Ridgecrest Rd
Suite 109
Greenville, TX 75402-6015
Phone (903) 455-9582

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K4932TXMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greenville Womens Wellness Center CurrentSince Oct 19, 2010 Accepting new patients
Hunt Memorial Hospital District Past Accepting new patients

Locations

4221 Ridgecrest Rd
Ste 109
Greenville, TX 75402
Phone (903) 455-9582

Interoperability endpoints

  • Direct secure messaging: teresa.kowalczyk@tx086.digichart.direct-ci.com

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Texas Health Partners LLC Organization, Arlington, TX LLC Operational/Managerial Control Mar 4, 2008
Jeffrey Wayne Mincher Individual Corporate OfficerSVP Chief Revenue Cycle Jun 20, 2022
Texas Health Resources Organization, Arlington, TX Non-profit 5% Or Greater Direct Ownership Interest Jun 1, 2007 61.18%
Fraser Hay Individual Corporate DirectorBoard Member Oct 28, 2025
Sarah S Way Individual Corporate DirectorBoard Member Oct 28, 2025
JP Morgan Chase, N.a. Organization, San Antonio, TX Financial institution 5% Or Greater Security Interest Feb 8, 2008 64%
Rick E McWhorter Individual Corporate DirectorBoard Member Oct 28, 2025
Matthew K McVey Individual W-2 Managing EmployeeEntity Finance Officer Mar 9, 2025
Jason a Linscott Individual Corporate OfficerPresident Jun 16, 2025
W-2 Managing EmployeeCfo/Interim President May 1, 2016
Tami L Hlus-Hawkins Individual Corporate OfficerVP Patient Care Services Jul 24, 2011
W-2 Managing Employee Jul 24, 2011
Amanda Thrash Individual Corporate DirectorBoard Member Oct 28, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 402

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 402

Organizations & group practices 2

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 2

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538170261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 RIDGECREST",
            "address_2": "SUITE 109",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "75402",
            "telephone_number": "903-455-9582",
            "fax_number": "903-455-5689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 RIDGECREST RD",
            "address_2": "SUITE 109",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754026005",
            "telephone_number": "903-455-9582",
            "fax_number": "903-455-5689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALCZYK",
        "first_name": "TERESA",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TX",
            "license": "K4932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "752941533",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, TX

Sources for this page

Verify at the official NPI Registry.