Individual provider Active NPI

John David Cowan, MD

  • MOHS-Micrographic Surgery Physician
  • Bowling Green, KY
National Provider Identifier
1902080559
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
41690 Issued in KY
Practice address
1106 Fairway St
Bowling Green, KY 42103-2418
Phone
(270) 783-8003
Fax
(270) 783-8005
NPI assigned
Dec 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 41690 KY
MOHS-Micrographic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ND0101X 41690 KY Primary

Addresses

Primary practice location

1106 Fairway St
Bowling Green, KY 42103-2418

Mailing address

1106 Fairway St
Bowling Green, KY 42103-2418
Phone (270) 783-8003

Other identifiers 1

IdentifierTypeStateIssuer
7100054940MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20080707000265 KY Practitioner - Dermatology 2860564929 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Kentucky College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1106 Fairway St
Bowling Green, KY 42103-2418
Phone (270) 783-8003

Merit-based Incentive Payment System (MIPS)

Final score
84.36 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
47.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision523
Removal of skin lesions1170
Removal of skin cancer1879
Removal or shaving of skin growth14
Skin biopsy1420

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41690KYMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bowling Green Dermatology & Skin Cancer Specialists PLLC Single Specialty CurrentSince Jul 1, 2008 Accepting new patients

Locations

1106 Fairway St
Bowling Green, KY 42103
Phone (270) 783-8003

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GHEFAA

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.

NPI Registry JSON

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1902080559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 FAIRWAY ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421032418",
            "telephone_number": "270-783-8003",
            "fax_number": "270-783-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 FAIRWAY ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421032418",
            "telephone_number": "270-783-8003",
            "fax_number": "270-783-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWAN",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-18",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "KY",
            "license": "41690",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "KY",
            "license": "41690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100054940",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.