Individual provider Active NPI

Thomas Joseph Kovack, DO

  • Orthopaedic Surgery Physician
  • Dublin, OH
National Provider Identifier
1558303305
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
34008324 Issued in OH
Practice address
6670 Perimeter Dr Ste 140
Dublin, OH 43016-8057
Phone
(614) 526-2150
Fax
(614) 526-2151
NPI assigned
Jun 12, 2006
Last updated
Jun 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 34008324 OH Primary

Addresses

Primary practice location

6670 Perimeter Dr Ste 140
Dublin, OH 43016-8057

Mailing address

6670 Perimeter Dr Ste 140
Dublin, OH 43016-8057
Phone (614) 526-2150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20070625000765 OH Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 8426057332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians
Advantage Orthopedics IncGroup PAC ID 2668842964, 2 clinicians

Practice addresses (Care Compare)

11962 County Rd
The Villages, FL 32162-9336
Phone (352) 693-3378

6670 Perimeter Dr
Suite 140
Dublin, OH 43016-8057
Phone (614) 526-2150

7000 Bordeaux CT
Dublin, OH 43016-6121

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement17
Lower limb (leg) arthroscopy (minimally invasive joint repair)19
Upper limb (arm) arthroscopy (minimally invasive joint repair)132

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Orthopedics Inc Orthopaedic Surgery CurrentSince Nov 22, 2022 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

6670 Perimeter Dr
Ste 140
Dublin, OH 43016
Phone (614) 526-2150

103 Commerce Park Dr
Ste A
Westerville, OH 43082
Phone (614) 545-4414

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 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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1558303305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6670 PERIMETER DR STE 140",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430168057",
            "telephone_number": "614-526-2150",
            "fax_number": "614-526-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6670 PERIMETER DR STE 140",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430168057",
            "telephone_number": "614-526-2150",
            "fax_number": "614-526-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVACK",
        "first_name": "THOMAS",
        "middle_name": "JOSEPH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "34008324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

Verify at the official NPI Registry.