DR. KELLY JEAN COWAN M.D.
NPI 1205054384
Pediatrics - Pediatric Pulmonology in Burlington, VT

Q: What is Kelly Cowan's NPI number?

The NPI number for Kelly Cowan is 1205054384. It was assigned to this individual provider in the NPPES registry on April 23, 2007. The provider is also known as Kelly Jean Weirather M.D..

Q: What is Kelly Cowan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Cowan was last updated on June 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 23, 2007PECOS Enrolled

111 COLCHESTER AVE, FLETCHER ALLEN HEALTH CARE, BURLINGTON, VT 05401(802) 847-0000 Get Directions Write a Review

NPPES record last updated: June 25, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Kelly Jean Cowan M.d. NPPES

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

DR. KELLY JEAN COWAN M.D. (NPI 1205054384) is an individual pediatric pulmonology provider in Burlington, Vermont, licensed in Vermont (042.0012650) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205054384

Entity TypeIndividualFemale

Primary Taxonomy2080P0214X

Provider Legal NameDR. KELLY JEAN COWANCredential: M.D.

Location Address111 COLCHESTER AVE, FLETCHER ALLEN HEALTH CAREBurlington, VT 05401-1473

Mailing Address111 Colchester Ave, Fletcher Allen Health CareBurlington, VT 05401-1473 · (802) 847-0000

Phone(802) 847-0000

Sole ProprietorNo

Enumeration DateApril 23, 2007

Last NPPES UpdateJune 25, 2013

✔ NPI 1205054384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric PulmonologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0214X

License✔ Licensed in VT · 042.0012650

Definition

A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.

111 COLCHESTER AVE, Burlington, VT 05401

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Other Names 1

Former Name (1)Kelly Jean Weirather M.d.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kelly Jean Cowan M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

ELENA KOZAKEWICH

Internal Medicine (Pulmonary Disease)

111 COLCHESTER AVE, UVM MEDICAL CENTER, DEPT OF INTERNAL MEDICINE, 222WP2
BURLINGTON, VT 05401

Chittenden County (802) 847-2700

RICHARD BOHLING CAROZZA MD

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)