Individual provider Active NPI

Maria D Kowal, M.D.

  • Pediatrics Physician
  • Cortland, OH
National Provider Identifier
1871593632
Registry record updated Aug 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35076188K Issued in OH
Practice address
2642 Elm Rd NE
Cortland, OH 44410-9393
Phone
(330) 841-5500
Fax
(330) 841-5510
NPI assigned
Jul 22, 2005
Last updated
Aug 27, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35076188K OH Primary

Addresses

Primary practice location

2642 Elm Rd NE
Cortland, OH 44410-9393

Mailing address

2642 Elm Rd NE
Cortland, OH 44410-9393
Phone (330) 841-5500

Other identifiers 1

IdentifierTypeStateIssuer
2222071MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20140207001731 OH Practitioner - Pediatric Medicine 8729217039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Michigan State University College of Human Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3132 Belmont Ave
Suite B
Youngstown, OH 44505-1838
Phone (877) 722-3303

726 Wick Ave
Youngstown, OH 44505-2827
Phone 330747955177182

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35076188KOHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio North East Health Systems Inc CurrentSince Jan 2, 2014 Accepting new patients
Ohio North East Health Systems, Inc. Pediatrics CurrentSince Jan 2, 2014 Accepting new patients
Ohio North East Health Systems, Inc Past Accepting new patients

Locations

2642 State Route 5
Cortland, OH 44410
Phone (330) 841-5500

726 Wick Ave
Youngstown, OH 44505
Phone (330) 747-2330

Interoperability endpoints

  • Direct secure messaging: kowal.maria@onehealth.medicity.net
  • Direct secure messaging: maria.kowal.p1@direct.oho.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377561600000",
    "number": "1871593632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2642 ELM RD NE",
            "city": "CORTLAND",
            "state": "OH",
            "postal_code": "444109393",
            "telephone_number": "330-841-5500",
            "fax_number": "330-841-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2642 ELM RD NE",
            "city": "CORTLAND",
            "state": "OH",
            "postal_code": "444109393",
            "telephone_number": "330-841-5500",
            "fax_number": "330-841-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWAL",
        "first_name": "MARIA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-22",
        "last_updated": "2013-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35076188K",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2222071",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortland, OH

Sources for this page

Verify at the official NPI Registry.