Individual provider Active NPI

John Michael Kowalski

  • Physician Assistant
  • Edinburg, TX
National Provider Identifier
1659922565
Registry record updated Sep 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA12992 Issued in TX
Practice address
2715 W Trenton Rd
Edinburg, TX 78539-3433
Phone
(956) 618-4878
NPI assigned
Sep 23, 2019
Last updated
Sep 23, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA12992 TX Primary

Addresses

Primary practice location

2715 W Trenton Rd
Edinburg, TX 78539-3433

Mailing address

2715 W Trenton Rd
Edinburg, TX 78539-3433
Phone (956) 618-4878

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240925002242 TX Practitioner - Physician Assistant 9931640398 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1040 W Jefferson St
Brownsville, TX 78520-6338
Phone (956) 698-5400

1200 E Ridge Rd
Suite 6
McAllen, TX 78503-1528
Phone (956) 331-8150

1401 E 8TH St
Weslaco, TX 78596-6640
Phone (956) 968-8567

1502 Midlane Dr
Harlingen, TX 78552-3239
Phone (956) 331-8150

1502 Midlane Dr
Suite 111
Harlingen, TX 78552-3229
Phone (956) 331-8150

844 Central Blvd
Suite 170
Brownsville, TX 78520-7535
Phone (956) 331-8150

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA12992TXMDPhysician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1659922565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 W TRENTON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785393433",
            "telephone_number": "956-618-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 W TRENTON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785393433",
            "telephone_number": "956-618-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALSKI",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-23",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA12992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.