Robert J Koval Jr., MD

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

N9084 Issued in TX

Practice address

4700 Seton Center Pkwy
Suite 200
Austin, TX 78759

Phone

(512) 439-1000

Fax

(512) 439-1081

NPI assigned

Jan 26, 2007

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 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

RheumatologyAlso: Internal Medicine

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ortholonestar PLLCGroup PAC ID 9931529062, 416 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension Seton Highland Lakes Hospital, Burnet, TX, CCN 451365
• Ascension Seton Cedar Park Hospital, Cedar Park, TX, CCN 670043

Merit-based Incentive Payment System (MIPS)

Final score

94.32 of 100Reported as individual

Quality

89.67

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: robert.koval.1@15533.direct.athenahealth.com

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.

• Ortholonestar, PLLC

  • Orthopaedic Surgery Physician
  • Houston, TX
  • NPI 1942860176
  Medicare reassignment Care Compare group NPD
• Texas Orthopedics Sports & Rehabilitation Associates PA

  • Orthopaedic Surgery Physician
  • Austin, TX
  • NPI 1346244688
  Medicare reassignment
• Ortholonestar, PLLC

  • Orthopaedic Surgery Physician
  • Tomball, TX
  • NPI 1073475679
  NPD
• Texas Orthopedics Sports & Rehabilitation Associates PA

  • Orthopaedic Surgery Physician
  • Cedar Park, TX
  • NPI 1255460846
  NPD

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

• Ascension Seton

  • Critical Access Hospital
  • Burnet, TX
  • NPI 1003833013
  Care Compare affiliation
• Cedar Park Health System LLC

  • General Acute Care Hospital
  • Cedar Park, TX
  • NPI 1376662296
  Care Compare affiliation

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1659427334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 SETON CENTER PKWY",
            "address_2": "SUITE 200",
            "city": "AUSITN",
            "state": "TX",
            "postal_code": "787594107",
            "telephone_number": "512-439-1000",
            "fax_number": "512-439-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 SETON CENTER PKWY",
            "address_2": "SUITE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78759",
            "telephone_number": "512-439-1000",
            "fax_number": "512-439-1081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10861 183A Toll Road",
            "address_2": "Bldg 1200, Ste 1200",
            "address_purpose": "LOCATION",
            "city": "Leander",
            "state": "TX",
            "postal_code": "78641",
            "country_code": "US",
            "telephone_number": "512-439-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOVAL",
        "first_name": "ROBERT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TX",
            "license": "N9084",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "46741",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Velitchka H Kouneva-Skerleva, PA-C
• Andrew Kouns
• Aisha Kousar, MD
• Kristine Kurty Kovach, IBCLC
• Erin Koval, M.D.
• Erin McKenzie Kovar, MD
• Diana Kovinsky, MOT, OTR/L
• Joshua Kovoor, MD
• Trenton Kowalczuk, LPC
• Breighlyn Marie Kowalczyk, RDN

• Rheumatology Physician in Austin, TX
• Providers in Austin, TX by specialty
• Rheumatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; 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.