NPIMap

Individual provider Active NPI

Kellen Kovalovich, M.D

  • Gastroenterology Physician
  • Phoenixville, PA
National Provider Identifier
1871689422
Registry record updated Jan 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD053829L Issued in PA
Practice address
420 W. Linfield Trappe Road
Phoenixville, PA 19460
Phone
(610) 495-2300
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD053829L PA Primary

Addresses

Primary practice location

420 W. Linfield Trappe Road
Phoenixville, PA 19460

Mailing address

P. O. Box 525
Phoenixville, PA 19460
Phone (610) 933-8000

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
I20050525000835 PA Practitioner - Gastroenterology 4981646346 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Temple University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians

Practice addresses (Care Compare)

145 King of Prussia Rd
Suite 205
Radnor, PA 19087-4557
Phone (610) 902-1500

420 W Linfield Trappe Rd
Gastroenterology Limerick
Limerick, PA 19468-4279
Phone (484) 938-4030

777 Township Line Rd
Suite 200
Yardley, PA 19067-5564
Phone (215) 860-0775

824 Main St
Phoenixville, PA 19460-4478

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy397
Upper gastrointestinal (GI) endoscopy for acid reflux269

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD053829LPAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Care Associates of the University of Pennsylvania Health Syst CurrentSince Jan 25, 2022 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Current Accepting new patients
University of Penn - Medical Group Gastroenterology CurrentSince Nov 1, 2024 Accepting new patients
University of Penn-Medical Group CurrentSince Nov 1, 2024 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Jan 25, 2022 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Syst Gastroenterology Past Accepting new patients
Endoscopy Associates of Valley Forge, LLC Past Accepting new patients
University of Penn - Medical Group Past Accepting new patients

Locations

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

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

824 Main St
Ste 307
Phoenixville, PA 19460
Phone (610) 482-6500

420 W Linfield Trappe Rd
Ste 200
Royersford, PA 19468
Phone (610) 495-2300

420 W Linfield Trappe Rd
Ste 101
Royersford, PA 19468
Phone (484) 975-0404

145 King of Prussia Rd
Ste 205
Wayne, PA 19087
Phone (610) 902-4858

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

Organizations & group practices 8

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421280000000",
    "number": "1871689422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P. O. BOX 525",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "19460",
            "telephone_number": "610-933-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W. LINFIELD TRAPPE ROAD",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "19460",
            "telephone_number": "610-495-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVALOVICH",
        "first_name": "KELLEN",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2015-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD053829L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenixville, PA

Sources for this page

Verify at the official NPI Registry.