NPIMap

Individual provider Active NPI

Kenneth L Kovach, M.D.

  • Specialist
  • Wichita, KS
National Provider Identifier
1881691186
Registry record updated Mar 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0425946 Issued in KS
Practice address
1035 N Emporia St
Ste #105
Wichita, KS 67214-2944
Phone
(316) 263-7285
Fax
(316) 266-4682
NPI assigned
Jun 30, 2005
Last updated
Mar 16, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0425946 KS Primary

Addresses

Primary practice location

1035 N Emporia St
Ste #105
Wichita, KS 67214-2944

Mailing address

1035 N Emporia St
Ste #105
Wichita, KS 67214-2944
Phone (316) 263-7285

Other identifiers 1

IdentifierTypeStateIssuer
100180670BMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, KS2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041210000944 OK Practitioner - NephrologyPractitioner - Internal Medicine 8921065947 Reassigns benefits to 1 organization
I20050516000495 KS Practitioner - NephrologyPractitioner - Internal Medicine 8921065947 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Texas Tech University Health Science Center School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas Nephrology Physicians PAGroup PAC ID 9537151949, shared by 2 NPIs, 9 clinicians

Practice addresses (Care Compare)

1035 N Emporia Ave
Suite 105
Wichita, KS 67214-2943
Phone (316) 263-7285

1208 E Hartford
Ponca City, OK 74601-2030
Phone (580) 718-9357

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas Nephrology Physicians PA CurrentSince Oct 1, 1995 Accepting new patients
Kansas Nephrology Physicians, P.a. Specialist Current Accepting new patients
Kansas Vascular Access Center LLC Specialist Past Accepting new patients

Locations

701 W Central Ave
El Dorado, KS 67042
Phone (316) 321-1368

1035 N Emporia Ave
Ste 105
Wichita, KS 67214
Phone (316) 263-7285

1035 N Emporia Ave
Ste 155
Wichita, KS 67214
Phone (316) 263-7285

1208 E Hartford Ave
Ponca City, OK 74601
Phone (580) 718-9357

123 Patton Dr
Ponca City, OK 74601
Phone (580) 765-4620

Interoperability endpoints

  • Direct secure messaging: kenneth.kovach.1@19248.direct.athenahealth.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.

Hospital & facility affiliations 9

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": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300233600000",
    "number": "1881691186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 N EMPORIA ST",
            "address_2": "STE #105",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672142944",
            "telephone_number": "316-263-7285",
            "fax_number": "316-266-4682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 N EMPORIA ST",
            "address_2": "STE #105",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672142944",
            "telephone_number": "316-263-7285",
            "fax_number": "316-266-4682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVACH",
        "first_name": "KENNETH",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2011-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KS",
            "license": "0425946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100180670B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.