Individual provider Active NPI

Julia Kovtsun, MD

  • Family Medicine Physician
  • Howell, MI
National Provider Identifier
1770077679
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301505085 Issued in MI
Practice address
1225 S Latson Rd Ste 260
Howell, MI 48843-7660
Phone
(810) 227-2767
NPI assigned
Jun 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301505085 MI Primary

Addresses

Primary practice location

1225 S Latson Rd Ste 260
Howell, MI 48843-7660

Mailing address

1225 S Latson Rd Ste 260
Howell, MI 48843-7660
Phone (810) 227-2767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20220202001923 MI Practitioner - Family Practice 1153678974 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care of Michigan PC CurrentSince Nov 7, 2022 Accepting new patients
American Current Care of Michigan PC CurrentSince Nov 7, 2022 Accepting new patients

Locations

436 44th St SE
Ste A
Kentwood, MI 49548
Phone (616) 531-9750

11569 E 12 Mile Rd
Warren, MI 48093
Phone (586) 582-0018

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1529020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1770077679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 S LATSON RD STE 260",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488437660",
            "telephone_number": "810-227-2767",
            "fax_number": "810-227-2760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 S LATSON RD STE 260",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488437660",
            "telephone_number": "810-227-2767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVTSUN",
        "first_name": "JULIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-15",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301505085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell, MI

Sources for this page

Verify at the official NPI Registry.