Timothy F Kowalski, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

35058423 Issued in OH

Practice address

6300 Wilson Mills Rd # W31
Mayfield Village, OH 44143

Phone

(440) 910-7663

Fax

(855) 529-7659

NPI assigned

Oct 11, 2005

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

Other identifiers 2

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

Specialty

Internal Medicine

Education

University of Michigan Medical School, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Progressive Casualty Insurance Company

  • Primary Care Clinic/Center
  • Mayfield Village, OH
  • NPI 1447491410
  NPD
• Lake Hospital System, Inc

  • Urgent Care Clinic/Center
  • Madison, OH
  • NPI 1134189376
  NPD (past)
• Physicians for Pulmonary & Critical Care Corp

  • Pulmonary Disease Physician
  • Mayfield HTS, OH
  • NPI 1659369452
  NPD (past)
• Specialists in Pulmonary & Critical Care, Corp

  • Pulmonary Disease Physician
  • Garfield HTS, OH
  • NPI 1215114822

  Critical Care Medicine

  NPD (past)

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1639167802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 WILSON MILLS RD # W31",
            "city": "MAYFIELD VILLAGE",
            "state": "OH",
            "postal_code": "441432109",
            "telephone_number": "440-910-7663",
            "fax_number": "855-529-7659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 WILSON MILLS RD # W31",
            "city": "MAYFIELD VILLAGE",
            "state": "OH",
            "postal_code": "44143",
            "telephone_number": "440-910-7663",
            "fax_number": "855-529-7659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALSKI",
        "first_name": "TIMOTHY",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "OH",
            "license": "35058423",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OH",
            "license": "35058423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0743477",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "H532310",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Loren S. Kendis, M.D.
• Megan Kerns
• Keystone Rehabilitation Systems Inc
• Susan M. Knell, PH.D.
• Gwendolyn Kost, PT
• Marian E. Krieger, PH.D.
• Ravi Venkata Krishnan, M.D.
• Krista Smith
• Laura A Kwasniak, MD
• Robin Leichtman, PHD, LPCC

• Pulmonary Disease Physician in Mayfield Village, OH
• Providers in Mayfield Village, OH by specialty
• Pulmonary Disease Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; 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.