Individual provider Active NPI

Kevin John Kovatch, MD

  • Otolaryngology Physician
  • Farmington, CT
National Provider Identifier
1962815191
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
080595 Issued in CT
Practice address
263 Farmington Avenue
Farmington, CT 06030
Phone
(860) 679-2804
Fax
(860) 679-1179
NPI assigned
Jun 5, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 61020 TN
Otolaryngology Physician 207Y00000X MD474008 PA
Student in an Organized Health Care Education/Training Program 390200000X 4301105770 MI
Otolaryngology Physician 207Y00000X 080595 CT Primary

Addresses

Primary practice location

263 Farmington Avenue
Farmington, CT 06030

Mailing address

263 Farmington Ave
Farmington, CT 06030-8082
Phone (860) 679-2804

Other practice location 1

100 N Academy Ave
Danville, PA 17822-5000
Phone (570) 271-6429

Other practice location 2

1115 West Street
Southington, CT 06489
Phone (860) 679-2804

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kkovatch575432@direct.vumc.org Direct
Direct Messaging Address kkovatch89211@direct.med.uchc.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210614001239 PA Practitioner - Otolaryngology 2264748326 Reassigns benefits to 1 organization
I20250605002940 CT Practitioner - Otolaryngology 2264748326 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Connecticut Health CenterGroup PAC ID 3678472016, 624 clinicians

Practice addresses (Care Compare)

263 Farmington Ave
Farmington, CT 06030-0001
Phone (860) 679-3692

Hospital & facility affiliations

  • John Dempsey Hospital of the University of Connect Hospital, Farmington, CT, CCN 070036

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301105770MIMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic CurrentSince Jul 19, 2021 Accepting new patients
Geisinger Clinic CurrentSince Jul 19, 2021 Accepting new patients
Geisinger Clinic Current Accepting new patients
University of Connecticut Health Center CurrentSince Jun 1, 2025 Accepting new patients
University of Connecticut Health Center CurrentSince Jun 1, 2025 Accepting new patients
University of Connecticut Health Center Past Accepting new patients

Locations

263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477

1115 West St
Southington, CT 06489
Phone (860) 276-6000

100 N Academy Ave
Danville, PA 17822

Interoperability endpoints

  • Direct secure messaging: kkovatch575432@direct.vumc.org
  • Direct secure messaging: kkovatch89211@direct.med.uchc.edu

Organizations & group practices 6

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 2

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": "1401926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1962815191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060308082",
            "telephone_number": "860-679-2804",
            "fax_number": "860-679-1179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVENUE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "06030",
            "telephone_number": "860-679-2804",
            "fax_number": "860-679-1179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 N Academy Ave",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "PA",
            "postal_code": "178225000",
            "country_code": "US",
            "telephone_number": "570-271-6429",
            "fax_number": "570-271-6854",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1115 West Street",
            "address_purpose": "LOCATION",
            "city": "Southington",
            "state": "CT",
            "postal_code": "06489",
            "country_code": "US",
            "telephone_number": "860-679-2804",
            "fax_number": "860-679-1179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOVATCH",
        "first_name": "KEVIN",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-05",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TN",
            "license": "61020",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MD474008",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "4301105770",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CT",
            "license": "080595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kkovatch575432@direct.vumc.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information Service Provider",
            "address_1": "1215 21st Ave S Ste 7209",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372325000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kkovatch89211@direct.med.uchc.edu",
            "affiliation": "N",
            "address_1": "263 Farmington Avenue",
            "city": "Farmington",
            "state": "CT",
            "country_code": "US",
            "postal_code": "06030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

Verify at the official NPI Registry.