Individual provider Active NPI

Daniel Jonathan Kowal, M.D.

  • Diagnostic Radiology Physician
  • Templeton, MA
National Provider Identifier
1760690416
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
231689 Issued in MA
Practice address
14 Rice Rd
Templeton, MA 01468-1332
Phone
(978) 939-2035
Fax
(978) 939-2039
NPI assigned
May 18, 2007
Last updated
Feb 22, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 231689 MA Primary

Addresses

Primary practice location

14 Rice Rd
Templeton, MA 01468-1332

Mailing address

PO Box 1045
Worcester, MA 01613-1045
Phone (978) 939-2035

Other identifiers 9

IdentifierTypeStateIssuer
1760690416OtherMACIGNA
1760690416OtherMAAETNA
042477296OtherHEALTH CARE VALUE MANAGEMENT
042477296OtherMAUNITED HEALTH CARE
1760690416OtherMAFALLON COMMUNITY HEALTH PLAN
2137364MedicaidMA
AA121577OtherMAHARVARD PILGRIM HEALTH CARE
042477296OtherMAPRIVATE HEALTH CARE SYSTEM
J41439OtherMABLUE CROSS AND BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20070727000085 MA Practitioner - Diagnostic Radiology 0446351985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Boston University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology and Imaging IncGroup PAC ID 9234110479, 58 clinicians

Practice addresses (Care Compare)

759 Chestnut St
Springfield, MA 01107-1619
Phone (413) 827-7400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
231689MAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franklin MRI Center LLC CurrentSince May 24, 2022 Accepting new patients
Franklin MRI Center LLC CurrentSince Dec 1, 2016 Accepting new patients
Baystate MRI & Imaging Center, LLC CurrentSince Jul 1, 2016 Accepting new patients
Radiology & Imaging Inc Diagnostic Radiology CurrentSince Jun 27, 2016 Accepting new patients

Locations

1350 Main St
Ste 1007
Springfield, MA 01103
Phone (413) 495-1100

759 Chestnut St
Springfield, MA 01107
Phone (413) 794-6297

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266796800000",
    "number": "1760690416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1045",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016131045",
            "telephone_number": "978-939-2035",
            "fax_number": "978-939-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 RICE RD",
            "city": "TEMPLETON",
            "state": "MA",
            "postal_code": "014681332",
            "telephone_number": "978-939-2035",
            "fax_number": "978-939-2039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWAL",
        "first_name": "DANIEL",
        "middle_name": "JONATHAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2010-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "231689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1760690416",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1760690416",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CARE VALUE MANAGEMENT",
            "identifier": "042477296",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "042477296",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON COMMUNITY HEALTH PLAN",
            "identifier": "1760690416",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2137364",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH CARE",
            "identifier": "AA121577",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE HEALTH CARE SYSTEM",
            "identifier": "042477296",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD",
            "identifier": "J41439",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Templeton, MA

Sources for this page

Verify at the official NPI Registry.