Jeremy Kent Kovach, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

212 E Central Ave Ste 365
Spokane, WA 99208-6597

Phone

(509) 435-0973

Fax

(509) 435-0978

NPI assigned

Aug 29, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alpine Orthopaedic and Spine a Professional CorporationGroup PAC ID 3678615390, 3 clinicians

Spokane Urology PLLCGroup PAC ID 5991603367, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jeremy.kovach.1@12441.direct.athenahealth.com
• Direct secure messaging: jkovach674145@direct.multicare.org

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.

• Spokane Urology PLLC

  • Urology Physician
  • Spokane, WA
  • NPI 1912015439
  Medicare reassignment Care Compare group NPD
• Alpine Orthopaedic and Spine a Professional Corporation

  • Orthopaedic Surgery of the Spine Physician
  • Spokane Valley, WA
  • NPI 1922334804
  Medicare reassignment Care Compare group
• Spokane Urology PLLC

  • Durable Medical Equipment & Medical Supplies
  • Spokane Valley, WA
  • NPI 1538870134
  NPD

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1629798095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 E CENTRAL AVE STE 365",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992086597",
            "telephone_number": "509-435-0973",
            "fax_number": "509-435-0978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 E CENTRAL AVE STE 365",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992086597",
            "telephone_number": "509-435-0973",
            "fax_number": "509-435-0978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVACH",
        "first_name": "JEREMY",
        "middle_name": "KENT",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-29",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel John Koster
• Kateryna Kotenko
• Carol Kottwitz, ARNP
• Theodore C Koutlas, MD
• Diane Marie Kovac, PMHNP-BC
• Shelley Kovacs
• Amber Elizabeth Kovalenko, PMHNP-BC
• Nikolai Kovalenko
• Kathleen Julia Kovich, P.T
• Kathleen Lenore Kozak, CRNA

• Physician Assistant in Spokane, WA
• Providers in Spokane, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.