Individual provider Active NPI

David P Kowalski, MD

  • Family Medicine Physician
  • Orchard Park, NY
National Provider Identifier
1881699312
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
204975 Issued in NY
Practice address
3065 Southwestern Blvd
Ste 104
Orchard Park, NY 14127-1239
Phone
(716) 677-3065
Fax
(716) 712-0497
NPI assigned
Jun 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 204975 NY Primary

Addresses

Primary practice location

3065 Southwestern Blvd
Ste 104
Orchard Park, NY 14127-1239

Mailing address

3065 Southwestern Blvd
Ste 104
Orchard Park, NY 14127-1239
Phone (716) 677-3065

Other identifiers 1

IdentifierTypeStateIssuer
P00174998OtherNYRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20041221000769 NY Practitioner - Family Practice 3375501570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
State University of New York at Buffalo School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David P Kowalski MD Family Practice PLLCGroup PAC ID 2668430869, 2 clinicians

Practice addresses (Care Compare)

3065 Southwestern Blvd
Suite 104
Orchard Park, NY 14127-1239
Phone (716) 677-3065

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
204975NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David P Kowalski MD Family Practice PLLC Family Medicine CurrentSince Jan 1, 2005 Accepting new patients

Locations

3065 Southwestern Blvd
Ste 104
Orchard Park, NY 14127
Phone (716) 677-3065

3065 Southwestern Blvd
Orchard Park, NY 14127
Phone (716) 675-7000

Interoperability endpoints

  • Direct secure messaging: davidkowalski@kowalskifamilypractice.medentdirect.com

Organizations & group practices 1

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 6

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": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1881699312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3065 SOUTHWESTERN BLVD",
            "address_2": "STE 104",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271239",
            "telephone_number": "716-677-3065",
            "fax_number": "716-712-0497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3065 SOUTHWESTERN BLVD",
            "address_2": "STE 104",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271239",
            "telephone_number": "716-677-3065",
            "fax_number": "716-712-0497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALSKI",
        "first_name": "DAVID",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "204975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00174998",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

Verify at the official NPI Registry.