Active NPI
Michael J. Koval, MD
- Psychiatry Physician
- Lima, OH
National Provider Identifier
1912114752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 35.098475
- Practice address
- 830 W High St
Suite 290
Lima, OH 45801-3971 - Phone
- (419) 996-5033
- Fax
- (419) 996-5266
- NPI assigned
- May 17, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 35.098475 | OH | Primary |
| Psychiatry Physician | 2084P0800X | 4301084390 | MI |
Addresses
Primary practice location
830 W High St
Suite 290
Lima, OH 45801-3971
Mailing address
PO Box 636930
Cincinnati, OH 45263-0001
Phone (513) 981-5123
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301084390 | MI | MD | Psychiatry Physician |
| 35.098475 | OH | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hiawatha Community Mental Health Authority | Past | Accepting new patients | |
| Hiawatha Community Behavioral Health Authority | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Mercy Health Physicians Lima, LLC | Psychiatry | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Community/Behavioral Health Agency
- Sault Sainte Marie, MI
- NPI 1629161567
-
- Community/Behavioral Health Agency
- Saint Ignace, MI
- NPI 1457529505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330041600000",
"number": "1912114752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 636930",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452630001",
"telephone_number": "513-981-5123",
"fax_number": "513-981-5015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 W HIGH ST",
"address_2": "SUITE 290",
"city": "LIMA",
"state": "OH",
"postal_code": "458013971",
"telephone_number": "419-996-5033",
"fax_number": "419-996-5266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOVAL",
"first_name": "MICHAEL",
"middle_name": "J.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-17",
"last_updated": "2012-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "35.098475",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "4301084390",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lima, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.