Active NPI
Anita P Kovacic, MD
- Obstetrics & Gynecology Physician
- Beverly Hills, CA
National Provider Identifier
1659446243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- G65679
- Practice address
- 8641 Wilshire Blvd Ste 102
Beverly Hills, CA 90211 - Phone
- (310) 659-6210
- Fax
- (310) 659-5185
- NPI assigned
- Nov 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | G65679 | CA | Primary |
Addresses
Primary practice location
8641 Wilshire Blvd Ste 102
Beverly Hills, CA 90211
Mailing address
8641 Wilshire Blvd Ste 102
Beverly Hills, CA 90211
Phone (310) 659-6210
Other names 1
- Ms. Anita P Sumen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jun 21, 2016 through Jun 21, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beverly Hills Group of Women Physicians | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Beverly Hills, CA
- NPI 1861598757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462924800000",
"number": "1659446243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8641 WILSHIRE BLVD STE 102",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "90211",
"telephone_number": "310-659-6210",
"fax_number": "310-659-5185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8641 WILSHIRE BLVD STE 102",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "90211",
"telephone_number": "310-659-6210",
"fax_number": "310-659-5185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOVACIC",
"first_name": "ANITA",
"middle_name": "P",
"name_prefix": "Ms.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-21",
"last_updated": "2016-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "G65679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANITA",
"last_name": "SUMEN",
"middle_name": "P",
"prefix": "MS.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.