Individual provider Active NPI

Brent Jerome Kovacs, MD

  • Gastroenterology Physician
  • Santa Barbara, CA
National Provider Identifier
1730296542
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A51416 Issued in CA
Practice address
2403 Castillo St
Suite 201
Santa Barbara, CA 93105-5316
Phone
(805) 682-3585
Fax
(805) 682-4072
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A51416 CA Primary

Addresses

Primary practice location

2403 Castillo St
Suite 201
Santa Barbara, CA 93105-5316

Mailing address

2403 Castillo St
Suite 201
Santa Barbara, CA 93105-5316
Phone (805) 682-3585

Other identifiers 2

IdentifierTypeStateIssuer
00A514160MedicaidCA
00A514160OtherBLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20101020001272 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 1052205226 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Tulane University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Genesis Healthcare Partners PCGroup PAC ID 2163606807, 232 clinicians
Santa Barbara County AuditorGroup PAC ID 9335052083, 98 clinicians

Practice addresses (Care Compare)

2403 Castillo St
Suite 201
Santa Barbara, CA 93105-5316
Phone (805) 682-3585

305 Camino del Remedio
Santa Barbara, CA 93110-1332
Phone (888) 868-1649

315 Camino del Remedio
Santa Barbara, CA 93110-1332
Phone (805) 884-6850

345 Camino del Remedio
Santa Barbara, CA 93110-1332
Phone (805) 681-5488

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy440
Upper gastrointestinal (GI) endoscopy for acid reflux237

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A51416CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Barbara County Auditor CurrentSince Jan 5, 2019 Accepting new patients
Genesis Healthcare Partners PC CurrentSince Oct 1, 2022 Accepting new patients
Santa Barbara County Auditor CurrentSince Jan 5, 2019 Accepting new patients
Goleta Valley Cottage Hospital Past Accepting new patients
Santa Barbara Cottage Hospital Past Accepting new patients

Locations

50 Alessandro Pl
Ste 410
Pasadena, CA 91105
Phone (626) 793-7114

2403 Castillo St
Ste 201
Santa Barbara, CA 93105
Phone (805) 682-3585

300 N San Antonio Rd
Rm 107
Santa Barbara, CA 93110
Phone (805) 681-5461

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: bkovacs275146@direct.ochin.org
  • Direct secure messaging: brent.kovacs.1@3663.direct.athenahealth.com
  • Direct secure messaging: bkovacs749414@hisp.ehr.sutterhealth.org

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730296542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 CASTILLO ST",
            "address_2": "SUITE 201",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931055316",
            "telephone_number": "805-682-3585",
            "fax_number": "805-682-4072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 CASTILLO ST",
            "address_2": "SUITE 201",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931055316",
            "telephone_number": "805-682-3585",
            "fax_number": "805-682-4072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVACS",
        "first_name": "BRENT",
        "middle_name": "JEROME",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A51416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A514160",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A514160",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.