Active NPI
Michael A. Kovar, MD
- Family Medicine Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00024873
- Practice address
- 3400 California Ave SW, Ste 300
Seattle, WA 98116 - Phone
- (206) 320-3399
- Fax
- (206) 320-5506
- NPI assigned
- Nov 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00024873 | WA | Primary |
Addresses
Primary practice location
3400 California Ave SW, Ste 300
Seattle, WA 98116
Mailing address
PO Box 84026
Seattle, WA 98124-8426
Phone (206) 320-3399
Other practice location 1
4100 SW Alaska St Ste B
Seattle, WA 98116-4527
Phone (206) 320-3399
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1036730 | Medicaid | WA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mkovar1042186@wm.providencedirect.org | Direct | |
| Direct Messaging Address | mkovar1042186@wm.providencedirect.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- George Washington University School of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2450 33Rd Ave W
Suite 100
Seattle, WA 98199-3252
Phone (206) 320-3364
751 NE Blakely Dr
Issaquah, WA 98029-6201
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00024873 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swedish Health Services | Family Medicine | Current | Accepting new patients |
| Swedish Health Services | Family Medicine | Current | Accepting new patients |
| Swedish Health Services | Current | Accepting new patients |
Locations
4100 SW Alaska St
#B
Seattle, WA 98116
Phone (206) 320-3399
3400 California Ave SW
Ste 300
Seattle, WA 98116
Phone (206) 320-3399
2450 33rd Ave W
Ste 100
Seattle, WA 98199
Phone (206) 320-3364
Interoperability endpoints
- mkovar1042186@wm.providencedirect.org
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Seattle, WA
- NPI 1831139724
-
- Family Medicine Physician
- Seattle, WA
- NPI 1073553947
-
- Physical Therapist
- Seattle, WA
- NPI 1619680840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636588800000",
"number": "1740352228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 84026",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981248426",
"telephone_number": "206-320-3399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 CALIFORNIA AVE SW, STE 300",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98116",
"telephone_number": "206-320-3399",
"fax_number": "206-320-5506"
}
],
"practiceLocations": [
{
"address_1": "4100 SW Alaska St Ste B",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981164527",
"country_code": "US",
"telephone_number": "206-320-3399",
"fax_number": "206-320-5506",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOVAR",
"first_name": "MICHAEL",
"middle_name": "A.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-14",
"last_updated": "2021-11-11",
"certification_date": "2021-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00024873",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1036730",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mkovar1042186@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "3400 California Ave SW, Ste 300",
"city": "Seattle",
"state": "WA",
"country_code": "US",
"postal_code": "98116",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mkovar1042186@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "4100 SW Alaska St Ste B",
"city": "Seattle",
"state": "WA",
"country_code": "US",
"postal_code": "981164527",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; 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.