Individual provider Active NPI

Christina Michelle Kovacs, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Miami, FL
National Provider Identifier
1972746808
Registry record updated Jul 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
ME115663 Issued in FL
Practice address
1611 NW 12TH Ave
Miami, FL 33136-1005
Phone
(305) 585-8381
NPI assigned
Apr 8, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X ME115663 FL Primary

Addresses

Primary practice location

1611 NW 12TH Ave
Miami, FL 33136-1005

Mailing address

1611 NW 12TH Ave
Holtz Building Suite 2066
Miami, FL 33136-1005

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
I20150916002567 FL Practitioner - Pathology 2264749605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Miami, LM Miller School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Regional Laboratories Pathology Services, LLCGroup PAC ID 9133244346, 132 clinicians

Practice addresses (Care Compare)

9330 State Rd
Suite 54
Trinity, FL 34655-1808
Phone 72783440004875

Hospital & facility affiliations

  • HCA Florida Brandon Hospital Hospital, Brandon, FL, CCN 100243
  • HCA Florida Trinity Hospital Hospital, Trinity, FL, CCN 100191

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Regional Laboratories Pathology Services, LLC Anatomic Pathology & Clinical Pathology CurrentSince Sep 14, 2015 Accepting new patients

Locations

2020 59th St W
Bradenton, FL 34209
Phone (813) 798-6303

119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150

11850 Atlantic Blvd
Jacksonville, FL 32225
Phone (904) 702-1330

6477 103rd St
Jacksonville, FL 32210
Phone (904) 639-8517

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

10910 San Jose Blvd
Jacksonville, FL 32223
Phone (904) 407-8500

5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549

1430 Dale Mabry Hwy
Lutz, FL 33548
Phone (727) 313-0753

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

35750 US Highway 19 N
Palm Harbor, FL 34684
Phone (727) 789-8420

902 10th St E
Palmetto, FL 34221
Phone (727) 479-8473

42 Doctors Village Dr
St Johns, FL 32259
Phone (904) 230-5000

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

12922 Sheldon Rd
Tampa, FL 33626
Phone (813) 282-2850

9330 State Road 54
Trinity, FL 34655
Phone (727) 834-4000

11375 Cortez Blvd
Weeki Wachee, FL 34613
Phone (352) 596-4209

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 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": "1239148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437523200000",
    "number": "1972746808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 NW 12TH AVE",
            "address_2": "HOLTZ BUILDING SUITE 2066",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 NW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361005",
            "telephone_number": "305-585-8381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVACS",
        "first_name": "CHRISTINA",
        "middle_name": "MICHELLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-08",
        "last_updated": "2015-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME115663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.