DAVID P KOWALSKI MD FAMILY PRACTICE PLLC
NPI 1235134149
Family Medicine in Orchard Park, NY

Active since June 16, 2005
3065 SOUTHWESTERN BLVD, STE 104, ORCHARD PARK, NY 14127(716) 677-3065(716) 677-3065 Get Directions Write a Review

NPPES record last updated: January 8, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About David P Kowalski Md Family Practice Pllc NPPES

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

DAVID P KOWALSKI MD FAMILY PRACTICE PLLC (NPI 1235134149) is a healthcare organization registered as a family medicine in Orchard Park, New York and active in the NPI registry since June 2005. The organization lists David P Kowalski, Owner, as its authorized official.

NPPES Registry Identity

NPI1235134149
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDAVID P KOWALSKI MD FAMILY PRACTICE PLLC
Location Address3065 SOUTHWESTERN BLVD, STE 104Orchard Park, NY 14127-1239
Mailing Address3065 Southwestern Blvd, Ste 104Orchard Park, NY 14127-1239 · (716) 677-3065 · Fax (716) 677-3065
Fax(716) 677-3065
Organization SubpartNo
Authorized OfficialDavid P KowalskiOwner · (716) 677-3065
Enumeration DateJune 16, 2005
Last NPPES UpdateJanuary 8, 2013
✔ NPI 1235134149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 204975
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.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 008329 (NY)
3065 SOUTHWESTERN BLVD, Orchard Park, NY 14127

Other Identifiers 2

Medicare PINBA0381NY
OtherDC5229NY · Railroad Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David P Kowalski Md Family Practice Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20041220000870Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to David P Kowalski MD Family Practice PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1881699312
3065 SOUTHWESTERN BLVD STE 104
Orchard Park, NY 14127
(716) 677-3065
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D1032876

David P Kowalski MD Family Practice PLLC · Orchard Park, NY
Expired · Oct 31, 2026
CLIA Number33D1032876
Laboratory TypePhysician Office
Certificate Effective DateNovember 1, 2024
Certificate Expiration DateOctober 31, 2026
Laboratory DirectorDr. David P. Kowalski
Laboratory Phone(716) 677-3065
Laboratory LocationDavid P Kowalski MD Family Practice PLLC3065 Southwestern Boulevard, Suite 104, Orchard Park, NY 14127
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David P Kowalski MD Family Practice PLLC's NPI number?

The NPI number for David P Kowalski MD Family Practice PLLC is 1235134149. It was assigned to this organization in the NPPES registry on June 16, 2005.

Where is David P Kowalski MD Family Practice PLLC located?

David P Kowalski MD Family Practice PLLC is located at 3065 Southwestern Blvd Ste 104, Orchard Park, NY 14127. The listed phone number is (716) 677-3065.

What is David P Kowalski MD Family Practice PLLC's specialty?

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

Is David P Kowalski MD Family Practice PLLC enrolled in Medicare?

Yes. David P Kowalski MD Family Practice PLLC is registered in the Medicare PECOS enrollment system.

When is David P Kowalski MD Family Practice PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through David P Kowalski MD Family Practice PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to David P Kowalski MD Family Practice PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for David P Kowalski MD Family Practice PLLC was last updated on January 8, 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.