Dmitri Kovalev, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

89512 Issued in SC

Practice address

2 Innovation Dr Ste 350
Greenville, SC 29607-5269

Phone

(864) 516-1170

Fax

(877) 249-9483

NPI assigned

Jul 9, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

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

Specialty

Neurology

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bon Secours Medical Group Greenville Specialty Care LLCGroup PAC ID 1850779976, 290 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Francis-Downtown Hospital, Greenville, SC, CCN 420023

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Bon Secours Medical Group Greenville Specialty Care LLC

  • Cardiovascular Disease Physician
  • Greenville, SC
  • NPI 1821679580

  Neurology

  Medicare reassignment Care Compare group NPD
• Bon Secours Medical Group Greenville Specialty Care LLC

  • Orthopaedic Surgery Physician
  • Fountain Inn, SC
  • NPI 1760361174
  NPD

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

• St Francis Hospital Inc

  • Clinic/Center
  • Greenville, SC
  • NPI 1104052752

  Hospital

  Care Compare affiliation
• St Francis Hospital Inc

  • General Acute Care Hospital
  • Greenville, SC
  • NPI 1730123175
  Care Compare affiliation
• St Francis Hospital, Inc.

  • General Acute Care Hospital
  • Greenville, SC
  • NPI 1467496802
  Care Compare affiliation
• St Francis Hospital, Inc.

  • Clinical Medical Laboratory
  • Greenville, SC
  • NPI 1972127017

  Hospital

  Care Compare affiliation
• St. Francis Hospital Inc

  • General Acute Care Hospital
  • Greenville, SC
  • NPI 1023418035
  Care Compare affiliation
• St. Francis Hospital, Inc.

  • General Acute Care Hospital
  • Greenville, SC
  • NPI 1376899856
  Care Compare affiliation

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1730675117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631341",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452631341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 INNOVATION DR STE 350",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075269",
            "telephone_number": "864-516-1170",
            "fax_number": "877-249-9483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVALEV",
        "first_name": "DMITRI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-09",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "SC",
            "license": "89512",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "BP10063903",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherry Sue Kostman, PSY.D.
• Shanu Nikhil Kothari, MD
• McKenzie Kothe
• Jessica D Kotik, PHD
• Spyros A Koutsioukis, DMD
• Alexander Kovalic, MD
• Linda Lou Kowalczyk
• Keith Frederick Kraemer, MD
• Michael Kraft
• Tyler Kraft, PHARMD

• Neurology Physician in Greenville, SC
• Providers in Greenville, SC by specialty
• Neurology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.

Verify at the official NPI Registry.