Individual provider Active NPI

David L Kowalk, M.D.

  • Orthopaedic Surgery Physician
  • Frederick, MD
National Provider Identifier
1740258409
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
D53002 Issued in MD
Practice address
501 W 7TH St
Frederick, MD 21701
Phone
(301) 663-9573
Fax
(240) 439-8910
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X D0053002 MD
Orthopaedic Surgery Physician 207X00000X D53002 MD Primary

Addresses

Primary practice location

501 W 7TH St
Frederick, MD 21701

Mailing address

PO Box 37086
Baltimore, MD 21297-3086
Phone (240) 439-8913

Other practice location 1

52 Thomas Johnson Dr
Frederick, MD 21702-4300
Phone (301) 663-9573

Other practice location 2

52 Thomas Johnson Dr
Frederick, MD 21702-4300
Phone (301) 663-9573

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20100928000560 MD Practitioner - Orthopedic Surgery 6608885538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Michigan Medical School, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Frederick Health Hospital IncGroup PAC ID 0446149256, shared by 8 NPIs, 127 clinicians
Frederick Health Medical Group LLCGroup PAC ID 9931341096, 200 clinicians
Amber Hill Physical Therapy IncGroup PAC ID 8527963917, 336 clinicians

Practice addresses (Care Compare)

1194 Dutchmans Creek Dr
Brunswick, MD 21716-9786
Phone (240) 215-6310

16403 Old Emmitsburg Rd
Emmitsburg, MD 21727-8929
Phone (240) 215-6310

187 Thomas Johnson Dr
Frederick, MD 21702-4503

3430 Worthington Blvd
Frederick, MD 21704-7017
Phone (240) 215-6310

400 W 7TH St
Frederick, MD 21701-4506
Phone (240) 215-6310

501 W 7TH St
Suite 104
Frederick, MD 21701-5096
Phone (240) 215-6310

504 E Ridgeville Blvd
Mount Airy, MD 21771-5942
Phone (240) 215-6310

Hospital & facility affiliations

  • Frederick Health Hospital Hospital, Frederick, MD, CCN 210005

Merit-based Incentive Payment System (MIPS)

Final score
83.07 of 100Reported as group
Quality
75.5
Promoting interoperability
100
Improvement activities
40
Cost
68.06

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D53002MDMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Medical Group LLC Orthopaedic Surgery Current Accepting new patients
Monocacy Health Partners LLC CurrentSince Oct 1, 2013 Accepting new patients
Frederick Health Medical Group LLC Orthopaedic Surgery CurrentSince Oct 1, 2013 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Fisher & Grandia, M.D., P.a. Orthopaedic Surgery Past Accepting new patients
Albemarle Orthopaedics and Rehabilitation, PLLC Orthopaedic Surgery PastSince Jun 1, 2000 Accepting new patients

Locations

16403 Old Emmitsburg Rd
Emmitsburg, MD 21727
Phone (240) 566-3100

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

501 W 7th St
Frederick, MD 21701
Phone (301) 360-2574

52 Thomas Johnson Dr
Frederick, MD 21702
Phone (301) 663-9573

Organizations & group practices 7

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 1

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1740258409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37086",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212973086",
            "telephone_number": "240-439-8913",
            "fax_number": "240-439-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W 7TH ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21701",
            "telephone_number": "301-663-9573",
            "fax_number": "240-439-8910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "52 Thomas Johnson Dr",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217024300",
            "country_code": "US",
            "telephone_number": "301-663-9573",
            "fax_number": "301-663-6446",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "52 Thomas Johnson Dr",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217024300",
            "country_code": "US",
            "telephone_number": "301-663-9573",
            "fax_number": "301-663-6446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOWALK",
        "first_name": "DAVID",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "MD",
            "license": "D0053002",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MD",
            "license": "D53002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.