Active NPI
Micheal R Covault, MD
- Anesthesiology Physician
- Andover, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 04-30920
- Practice address
- 1124 West 21St Street
Andover, KS 67002 - Phone
- (316) 300-4000
- NPI assigned
- Aug 12, 2005
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 04-30920 | KS | Primary |
Addresses
Primary practice location
1124 West 21St Street
Andover, KS 67002
Mailing address
7718 E Oakmount St
Wichita, KS 67226-3527
Phone (316) 315-0621
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200330190A | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2100 Hwy 61 N
Vicksburg, MS 39183-8211
Phone (601) 883-5000
2500 N State St
Jackson, MS 39216-4500
Phone (601) 898-4404
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-30920 | KS | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Anesthesia Group, P.a. | Anesthesiology | Current | Accepting new patients |
| Anesthesia Consultants PA | Anesthesiology | Current | Accepting new patients |
| Jackson Anesthesia Associates PA | Anesthesiology | Current | Accepting new patients |
| Wichita Anesthesiology Chartered | Anesthesiology | Past | Accepting new patients |
Locations
1053 River Oaks Dr
#C
Flowood, MS 39232
Phone (601) 969-1430
1030 River Oaks Dr
Jackson, MS 39232
Phone (601) 376-2165
971 Lakeland Dr
Jackson, MS 39216
Phone (601) 939-5922
2100 Highway 61 N
Vicksburg, MS 39183
Phone (601) 883-5001
Interoperability endpoints
- mcovault219398@ummc.direct-ci.com
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Jackson, MS
- NPI 1750300836
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
-
- Anesthesiology Physician
- Jackson, MS
- NPI 1780737577
-
- Anesthesiology Physician
- Jackson, MS
- NPI 1407890783
-
- Anesthesiology Physician
- Wichita, KS
- NPI 1407848450
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Merit Health River Oaks
- General Acute Care Hospital
- Flowood, MS
- NPI 1396792032
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
-
dba Merit Health River Region
- General Acute Care Hospital
- Vicksburg, MS
- NPI 1215981303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689676298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7718 E OAKMOUNT ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672263527",
"telephone_number": "316-315-0621",
"fax_number": "316-315-0621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1124 WEST 21ST STREET",
"city": "ANDOVER",
"state": "KS",
"postal_code": "67002",
"telephone_number": "316-300-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COVAULT",
"first_name": "MICHEAL",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "KS",
"license": "04-30920",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200330190A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Andover, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.