Annie Wong Kowalis, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

C3656 Issued in MD

Practice address

2435 W Belvedere Avenue
Suite 42
Baltimore, MD 21215-5224

Phone

(410) 601-6025

Fax

(410) 601-5835

NPI assigned

Jun 25, 2008

Last updated

Jun 10, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Merit-based Incentive Payment System (MIPS)

Final score

82.34 of 100Reported as group

Quality

67.9

Promoting interoperability

100

Improvement activities

40

Cost

69.47

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Medstar Medical Group II LLC

  • General Practice Physician
  • Baltimore, MD
  • NPI 1184046187
  NPD
• Union Memorial Hospital

  • Multi-Specialty Clinic/Center
  • Baltimore, MD
  • NPI 1336163781
  NPD (past)

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276128000000",
    "number": "1780846402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 W BELVEDERE AVENUE",
            "address_2": "CREDENTIALING",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155271",
            "telephone_number": "410-601-5523",
            "fax_number": "410-601-8946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 W BELVEDERE AVENUE",
            "address_2": "SUITE 42",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155224",
            "telephone_number": "410-601-6025",
            "fax_number": "410-601-5835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALIS",
        "first_name": "ANNIE",
        "middle_name": "WONG",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-25",
        "last_updated": "2010-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MD",
            "license": "C3656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Swanson Kovars, DPT
• Tessa Aylin Kovats, MD
• Evelyn Hwang Kow, M.D.
• Marion C. Kowalewski, M.D.
• Paula Kowalewski, C.R.N.P.
• Michael Kowalis, PA
• Rebecca Kowalski
• Neel Koyawala
• Makeida Koyi, M.D.
• Kara Bush Koymen, M.A., CCC-SLP

• Surgical Physician Assistant in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Surgical Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; 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.

Verify at the official NPI Registry.