Paul Jay Kovnat, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

74-50 Issued in NM

Practice address

1650 Hospital Dr
Suite 200
Santa Fe, NM 87505-4769

Phone

(505) 982-4276

Fax

(505) 983-7571

NPI assigned

Aug 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Nephrophiles LLC

  • Nephrology Physician
  • Santa Fe, NM
  • NPI 1588103683
  NPD (past)

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210809600000",
    "number": "1700898608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 HOSPITAL DR",
            "address_2": "SUITE 200",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054769",
            "telephone_number": "505-982-4276",
            "fax_number": "505-983-7571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 HOSPITAL DR",
            "address_2": "SUITE 200",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054769",
            "telephone_number": "505-982-4276",
            "fax_number": "505-983-7571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVNAT",
        "first_name": "PAUL",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2008-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NM",
            "license": "74-50",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15396",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Charles Kosir, MD
• Robert Jan Kossmann, M.D.
• Evan Kottle
• Maegan C Kovac
• Daniel A Kovnat, MD
• Marjorie S Koza, CRNA
• Kpu Dental LLC
• Megan Ashley Kramer, RPH
• Madelyn Krassner, LISW
• Thomas W Kravitz, M.D.

• Nephrology Physician in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Nephrology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.