Active NPI
Nicholas James Novak, DO
- Otolaryngology Physician
- Lackland AFB, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 05-51224
- Practice address
- 1100 Wilford Hall Loop
Lackland AFB, TX 78236-5638 - Phone
- (210) 292-5420
- NPI assigned
- Apr 14, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 05-51224 | KS | Primary |
| Otolaryngology Physician | 207Y00000X | 2025018162 | MO |
Addresses
Primary practice location
1100 Wilford Hall Loop
Lackland AFB, TX 78236-5638
Mailing address
1100 Wilford Hall Loop
Lackland AFB, TX 78236-5638
Other practice location 1
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone (210) 916-2985
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2301 Holmes St
Kansas City, MO 64108-2640
Phone (816) 404-1000
7405 Renner Rd
Shawnee, KS 66217-9414
Phone (913) 588-7070
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05-51224 | KS | MD | Otolaryngology Physician |
| 0102207138 | VA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Truman Medical Center, Incorporated | Current | Accepting new patients | |
| Kansas University Physicians Inc | Otolaryngology | Current | Accepting new patients |
| Kansas University Physicians Inc | Otolaryngology | Current | Accepting new patients |
| Truman Medical Center, Incorporated | Otolaryngology | Current | Accepting new patients |
| Kansas University Physicians Inc | Current | Accepting new patients | |
| Truman Medical Center, Incorporated | Current | Accepting new patients | |
| Truman Medical Centers, Inc. | Past | Accepting new patients | |
| University Health Physicians | Past | Accepting new patients |
Locations
4000 Cambridge St
Kansas City, KS 66160
Phone (913) 588-0000
3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005
11300 Corporate Ave
Lenexa, KS 66219
Phone (913) 574-0600
7405 Renner Rd
Shawnee Msn, KS 66217
Phone (913) 588-2200
2301 Holmes St
Kansas City, MO 64108
2301 Holmes St
Fl 3
Kansas City, MO 64108
7900 Lees Summit Rd
Kansas City, MO 64139
Phone (816) 373-4485
Interoperability endpoints
- nnovak778859@direct.kuha.org
- nnovak39353@direct.utmsa.com
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Kansas City, KS
- NPI 1003858333
Otolaryngology
-
dba University Health
- General Acute Care Hospital
- Kansas City, MO
- NPI 1144207937
-
dba KU Otolaryngic Foundation
- Otolaryngology Physician
- Kansas City, KS
- NPI 1346386265
-
- Cardiovascular Disease Physician
- Kansas City, KS
- NPI 1407637291
-
dba University Health Multi-Specialty
- Otolaryngology Physician
- Kansas City, MO
- NPI 1184893224
-
dba University Health Behavioral Health CCBHO Clinic
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Kansas City, MO
- NPI 1225773401
-
- Home Health Agency
- Kansas City, MO
- NPI 1487797759
-
- Internal Medicine Physician
- Kansas City, MO
- NPI 1669456257
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University Health Truman Medical Center
- General Acute Care Hospital
- Kansas City, MO
- NPI 1467595793
-
dba University of Kansas Hospital / University of Kansas Cancer Center
- General Acute Care Hospital
- Kansas City, KS
- NPI 1629369681
-
dba The University of Kansas Hospital
- General Acute Care Hospital
- Kansas City, KS
- NPI 1649259656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787702400000",
"number": "1740843986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 WILFORD HALL LOOP",
"city": "LACKLAND AFB",
"state": "TX",
"postal_code": "782365638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 WILFORD HALL LOOP",
"city": "LACKLAND AFB",
"state": "TX",
"postal_code": "782365638",
"telephone_number": "210-292-5420"
}
],
"practiceLocations": [
{
"address_1": "3551 Roger Brooke Dr",
"address_purpose": "LOCATION",
"city": "Fort Sam Houston",
"state": "TX",
"postal_code": "782344504",
"country_code": "US",
"telephone_number": "210-916-2985",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOVAK",
"first_name": "NICHOLAS",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-14",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "KS",
"license": "05-51224",
"primary": true
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MO",
"license": "2025018162",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lackland AFB, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; 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.