ROBERT KOVACHEVICH DO - NPI 1073587507 - Family Medicine in Dyer, IN

Q: What is Robert Kovachevich's NPI number?

The NPI number for Robert Kovachevich is 1073587507. It was assigned to this individual provider in the NPPES registry on February 13, 2006.

Q: What is Robert Kovachevich's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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About Robert Kovachevich Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT KOVACHEVICH DO (NPI 1073587507) is an individual family medicine provider in Dyer, Indiana, licensed in Indiana (02002505A) and active in the NPI registry since February 2006. He maintains a secondary practice location in Dyer.

NPPES Registry Identity

NPI1073587507

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameROBERT KOVACHEVICHCredential: DO

Location Address15900 W 101ST AVEDyer, IN 46311

Mailing Address15900 W 101st Ave, Marcotte Medical Group, ScDyer, IN 46311 · (219) 365-6333 · Fax (219) 365-6333

Phone(219) 365-6333

Fax(219) 365-8291

Sole ProprietorNo

Enumeration DateFebruary 13, 2006

Last NPPES UpdateApril 8, 2021

NPPES CertifiedMarch 19, 2021

✔ NPI 1073587507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IN · 02002505A

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

15900 W 101ST AVE, Dyer, IN 46311

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Secondary Practice Location 1

Location 116000 W 101st AveDyer, IN 46311 · Phone (219) 365-6333 · Fax (219) 365-8291

Other Identifiers 4

Medicaid200400350IN

Other000000513385IN · Anthem

OtherDE6640IN · Railroad

OtherP00462444IN · Railroad

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SUMANTH MULAMALLA MD

Internal Medicine (Nephrology)