Organization Active NPI

Kevin B Cowan M.D. Inc.

  • Surgery Physician
  • Visalia, CA
National Provider Identifier
1619761665
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
KEVIN B COWAN M.D. INC.
Practice address
805 W Acequia Ave Ste 2a
Visalia, CA 93291-6164
Phone
(559) 738-0450
NPI assigned
Apr 7, 2025
Last updated
Apr 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Authorized official

Name
Dr. Kevin Brent Cowan, MDNPI 1073045068
Title
President and Ceo
Phone
(405) 761-3712

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

805 W Acequia Ave Ste 2a
Visalia, CA 93291-6164

Mailing address

805 W Acequia Ave Ste 2a
Visalia, CA 93291-6164

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250616002564 CA Part B Supplier - Clinic/Group Practice 0345751426 Receives reassigned benefits from 1 practitioner
Practice locations: Visalia, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1743984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1619761665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 W ACEQUIA AVE STE 2A",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 W ACEQUIA AVE STE 2A",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916164",
            "telephone_number": "559-738-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN B COWAN M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-07",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-06",
        "status": "A",
        "authorized_official_last_name": "COWAN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "BRENT",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "405-761-3712",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.