Individual provider Active NPI

Robert John Kowalski, MD

  • Neurological Surgery Physician
  • Clearwater, FL
National Provider Identifier
1952335655
Registry record updated Jul 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
ME95396 Issued in FL
Practice address
2250 Drew St
Clearwater, FL 33765-3305
Phone
(727) 797-7463
Fax
(727) 216-0374
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X ME95396 FL Primary

Addresses

Primary practice location

2250 Drew St
Clearwater, FL 33765-3305

Mailing address

2250 Drew St
Clearwater, FL 33765-3305
Phone (727) 797-7463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20060901000293 FL Practitioner - Neurosurgery 5092704213 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spinecare Associates, LLC CurrentSince Sep 1, 2009 Accepting new patients
The Clearwater Orthopaedic ASC LLC Past Accepting new patients
Tampa Bay Spine and Injury PastSince Jun 8, 2020 Accepting new patients

Locations

2250 Drew St
Clearwater, FL 33765
Phone (813) 797-7463

Interoperability endpoints

  • Direct secure messaging: robertkowalski@fsispine.allscriptsdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437350400000",
    "number": "1952335655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 DREW ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337653305",
            "telephone_number": "727-797-7463",
            "fax_number": "727-216-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 DREW ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337653305",
            "telephone_number": "727-797-7463",
            "fax_number": "727-216-0374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALSKI",
        "first_name": "ROBERT",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2015-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME95396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.