Ted Armstrong Kovacev, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

Q0779 Issued in TX

Practice address

104 Circle Way St Ste a
Lake Jackson, TX 77566-5200

Phone

(979) 721-7007

Fax

(979) 721-4254

NPI assigned

Oct 22, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ted Kovacev Professional name

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

General Surgery

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health Home health agency, Pasadena, TX, CCN 678260
• Iph Home Health Care Home health agency, Lake Jackson, TX, CCN 458399
• CHI St Luke'S Health Brazosport Hospital, Lake Jackson, TX, CCN 450072
• HCA Houston Healthcare Pearland Hospital, Pearland, TX, CCN 670106
• University of Texas Medical Branch Galveston Hospital, Galveston, TX, CCN 450018

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ted.kovacev.1@17497.direct.athenahealth.com
• FHIR API: https://fhir4.healow.com/fhir/r4/CJBHCD/Endpoint/CJBHCD

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.

• Arlington Physician Services PA

  • Obstetrics & Gynecology Physician
  • Mansfield, TX
  • NPI 1093144610

  Surgery, TX

  Medicare reassignment NPD
• Dr Ted Kovacev MD PA

  • Surgery Physician
  • Lake Jackson, TX
  • NPI 1588215933

  Surgery, TX

  Medicare reassignment NPD
• Cardiovascular Care Providers, Inc.

  • Specialist
  • Houston, TX
  • NPI 1437242617
  NPD (past)
• Hancock Physician Network, LLC

  • Family Medicine Physician
  • Greenfield, IN
  • NPI 1609806470

  Surgery

  NPD (past)
• Hancock Regional Hospital

  • Surgery Physician
  • Greenfield, IN
  • NPI 1114016987

  Surgery

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Chca Pearland, L.P.

  • General Acute Care Hospital
  • Pearland, TX
  • NPI 1609275585

  Hospital

  Care Compare affiliation
• DRC Health Systems LP

  • Home Health Agency
  • Pasadena, TX
  • NPI 1588644850
  Care Compare affiliation
• Iph Health Care Services, Inc.

  • Home Health Agency
  • Lake Jackson, TX
  • NPI 1679553069
  Care Compare affiliation
• The Community Hospital of Brazosport

  • General Acute Care Hospital
  • Lake Jackson, TX
  • NPI 1972581940

  Hospital

  Care Compare affiliation
• University of Texas Medical Branch at Galveston

  • General Acute Care Hospital
  • Galveston, TX
  • NPI 1548226988

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1568614402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 CIRCLE WAY ST STE A",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665200",
            "telephone_number": "979-721-7007",
            "fax_number": "979-721-4254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 CIRCLE WAY ST STE A",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665200",
            "telephone_number": "979-721-7007",
            "fax_number": "979-721-4254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVACEV",
        "first_name": "TED",
        "middle_name": "ARMSTRONG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-22",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "01070428A",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "Q0779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3455156-04",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TED",
            "last_name": "KOVACEV",
            "credential": "MD PA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• All providers in Lake Jackson, TX
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; 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.