Individual provider Active NPI

David Carl Kowalski, M.D.

  • Dermatology Physician
  • Burlington, NC
National Provider Identifier
1689760803
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
32755 Issued in NC
Practice address
1734 Westbrook Ave
Burlington, NC 27215-8721
Phone
(336) 584-5801
Fax
(336) 584-5860
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 32755 NC Primary

Addresses

Primary practice location

1734 Westbrook Ave
Burlington, NC 27215-8721

Mailing address

1734 Westbrook Ave
Burlington, NC 27215-8721
Phone (336) 584-5801

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dkowalski289048@direct.conehealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20111114000492 NC Practitioner - Dermatology 6305730334 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
JC Edwards School of Medicine, Marshall University, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1734 Westbrook Ave
Burlington, NC 27215-8721
Phone (336) 584-5801

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1016
Removal or shaving of skin growth66
Skin biopsy25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
81039NCMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Cone Physician Services, Inc Dermatology CurrentSince Feb 5, 2017 Accepting new patients
Moses Cone Physician Services Inc CurrentSince Feb 5, 2017 Accepting new patients
Moses Cone Physician Services, Inc. Current Accepting new patients
Moses Cone Physician Services Inc Past Accepting new patients

Locations

1734 Westbrook Ave
Burlington, NC 27215
Phone (336) 584-5801

301 E Wendover Ave
Ste 411
Greensboro, NC 27401
Phone (336) 832-3200

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1689760803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1734 WESTBROOK AVE",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272158721",
            "telephone_number": "336-584-5801",
            "fax_number": "336-584-5860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1734 WESTBROOK AVE",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272158721",
            "telephone_number": "336-584-5801",
            "fax_number": "336-584-5860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALSKI",
        "first_name": "DAVID",
        "middle_name": "CARL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "32755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dkowalski289048@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "Cone Health Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1734 Westbrook Ave",
            "city": "Burlington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272158721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

Verify at the official NPI Registry.