Individual provider Active NPI

Raymond Kovalski, M.D

  • Pulmonary Disease Physician
  • Phoenixville, PA
National Provider Identifier
1861588006
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD030431E Issued in PA
Practice address
826 Main Street
Suite 100
Phoenixville, PA 19460-4478
Phone
(610) 933-8484
Fax
(610) 917-0320
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X MD030431E PA Primary
Internal Medicine Physician 207R00000X MD030431E PA

Addresses

Primary practice location

826 Main Street
Suite 100
Phoenixville, PA 19460-4478

Mailing address

826 Main Street
Suite 100
Phoenixville, PA 19460-4478
Phone (610) 933-8484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20120109000200 PA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 9638345986 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Perelman School of Med at the University of Pennsylvania, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians
Penn Medicine-PmaGroup PAC ID 6507269370, 55 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

3624 Market St
FL 2
Philadelphia, PA 19104-5803
Phone (215) 662-7772

826 Main St
Suite 100
Phoenixville, PA 19460-4459
Phone (610) 933-8484

Hospital & facility affiliations

  • Phoenixville Hospital Hospital, Phoenixville, PA, CCN 390127
  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111
  • Chester County Hospital Hospital, West Chester, PA, CCN 390179
  • Pottstown Hospital Hospital, Pottstown, PA, CCN 390123
  • Reading Hospital Hospital, West Reading, PA, CCN 390044

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group CurrentSince Apr 1, 2022 Accepting new patients
University of Penn - Medical Group Internal Medicine CurrentSince Apr 1, 2022 Accepting new patients
Penn Medicine-Pma Pulmonary Disease CurrentSince Jan 25, 2022 Accepting new patients
Penn Medicine-Pma Internal Medicine CurrentSince Jan 25, 2022 Accepting new patients
University of Penn - Medical Group Internal Medicine Current Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Internal Medicine Past Accepting new patients
University of Penn - Medical Group Past Accepting new patients

Locations

150 Monument Rd
Ste 400
Bala Cynwyd, PA 19004
Phone (610) 747-3470

12 E Swedesford Rd
Malvern, PA 19355

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

3400 Spruce St
#11
Philadelphia, PA 19104
Phone (215) 662-2700

3549 Chestnut St
Fl 9
Philadelphia, PA 19104
Phone (215) 662-7005

824 Main St
Ste 100
Phoenixville, PA 19460
Phone (610) 933-8000

826 Main St
Ste 100
Phoenixville, PA 19460
Phone (610) 933-8000

Interoperability endpoints

  • FHIR API: https://ssproxy.pennhealth.com/PRD-FHIR/api/FHIR/R4/

Organizations & group practices 7

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.

Hospital & facility affiliations 12

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1861588006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 MAIN STREET",
            "address_2": "SUITE 100",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194604478",
            "telephone_number": "610-933-8484",
            "fax_number": "610-917-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 MAIN STREET",
            "address_2": "SUITE 100",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194604478",
            "telephone_number": "610-933-8484",
            "fax_number": "610-917-0320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVALSKI",
        "first_name": "RAYMOND",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "MD030431E",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD030431E",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenixville, PA

Sources for this page

Verify at the official NPI Registry.