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Individual provider Active NPI

Mitch P Kovacs, MD

  • Family Medicine Physician
  • State College, PA
National Provider Identifier
1871237537
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD490671 Issued in PA
Practice address
239 Colonnade Blvd
2ND Floor
State College, PA 16803
Phone
(582) 220-2305
Fax
(582) 220-2306
NPI assigned
Apr 27, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MT226769 PA
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X MD490671 PA Primary

Addresses

Primary practice location

239 Colonnade Blvd
2ND Floor
State College, PA 16803

Mailing address

100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 375-6560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251209003678 PA Practitioner - Family Practice 0547639080 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
George Washington University School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J C Blair Memorial HospitalGroup PAC ID 2668378407, 98 clinicians

Practice addresses (Care Compare)

239 Colonnade Blvd
State College, PA 16803-2668
Phone (814) 940-8195

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD490671PAMDFamily Medicine Physician
MT226769PAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
J C Blair Memorial Hospital Family Medicine CurrentSince Oct 2, 2025 Accepting new patients
Apogee Medical Group of Pennsylvania PC CurrentSince Dec 1, 2025 Accepting new patients
J C Blair Memorial Hospital CurrentSince Oct 2, 2025 Accepting new patients
Apogee Medical Group of Pennsylvania PC CurrentSince Dec 1, 2025 Accepting new patients
J C Blair Memorial Hospital Current Accepting new patients
J. C. Blair Memorial Hospital PastSince Aug 17, 2025 Accepting new patients

Locations

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

1225 Warm Springs Ave
Huntingdon, PA 16652
Phone (814) 643-8206

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

239 Colonnade Blvd
Ste 2
State College, PA 16803
Phone (814) 643-5478

239 Colonnade Blvd
Fl 2
State College, PA 16803
Phone (582) 220-2215

239 Colonnade Blvd
State College, PA 16803
Phone (582) 220-2192

Organizations & group practices 6

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 45

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1871237537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL AVE",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011440",
            "telephone_number": "814-375-6560",
            "fax_number": "814-375-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 COLONNADE BLVD",
            "address_2": "2ND FLOOR",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "16803",
            "telephone_number": "582-220-2305",
            "fax_number": "582-220-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVACS",
        "first_name": "MITCH",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-27",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT226769",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD490671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in State College, PA

Sources for this page

Verify at the official NPI Registry.