DR. ANDREW JOHN KOBALKA MD
NPI 1235797861
Pathology - Anatomic Pathology & Clinical Pathology in Kalamazoo, MI

Q: What is Andrew Kobalka's NPI number?

The NPI number for Andrew Kobalka is 1235797861. It was assigned to this individual provider in the NPPES registry on May 29, 2019.

Q: What is Andrew Kobalka's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Kobalka was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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 May 29, 2019PECOS EnrolledAccepts Medicare Assignment

1521 GULL RD, KALAMAZOO, MI 49048(269) 226-7231 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 25, 2025, May 29, 2019 (2 updates tracked since 2019).

On this page

About Dr. Andrew John Kobalka Md NPPES

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

DR. ANDREW JOHN KOBALKA MD (NPI 1235797861) is an individual anatomic pathology & clinical pathology provider in Kalamazoo, Michigan, licensed in Michigan (4301510957) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph Regional Medical Center, and is a graduate of Toledo Medical College (2019).

NPPES Registry Identity

NPI1235797861

Entity TypeIndividualMale

Primary Taxonomy207ZP0102X

Provider Legal NameDR. ANDREW JOHN KOBALKACredential: MD

Location Address1521 GULL RDKalamazoo, MI 49048-1640

Mailing Address5700 Southwyck BlvdToledo, OH 43614-1509 · (800) 288-8325 · Fax (419) 866-5453

Phone(269) 226-7231

Sole ProprietorNo

Medical School CMSToledo Medical CollegeGraduated 2019

Enumeration DateMay 29, 2019

Last NPPES UpdateMarch 25, 20252 updates tracked since enumeration

NPPES CertifiedMarch 25, 2025

✔ NPI 1235797861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

License✔ Licensed in MI · 4301510957

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

1521 GULL RD, Kalamazoo, MI 49048

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Andrew John Kobalka Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436694510

PECOS Enrollment IDI20240712002505, I20250604003101

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.

Medicare Billing Reassignments

Medicare enrollment records show Andrew Kobalka reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Michigan Pathology Specialists PC

46 mi

Anatomic Pathology & Clinical Pathology

35 MICHIGAN ST NE
Grand Rapids, MI 49503

Reassigned Medicare billing, Michigan enrollment
39 clinicians in this Medicare group

NPI 1033193875 (616) 267-2660

Legacy Path LLC

53 mi

Anatomic Pathology & Clinical Pathology

3355 DOUGLAS RD
South Bend, IN 46635

Reassigned Medicare billing, Indiana and Michigan enrollments
18 clinicians in this Medicare group

NPI 1205693728 (574) 234-4176

South Bend Medical Foundation, Inc

53 mi

Anatomic Pathology & Clinical Pathology

3355 DOUGLAS RD
South Bend, IN 46635

Reassigned Medicare billing, Indiana and Michigan enrollments
Also billed through NPI 1922623305 (Michigan)
19 clinicians in this Medicare group

NPI 1649241084 (574) 234-4176

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

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

239 services139 patients

Cell examination of specimen, selective cellular enhancement technique 88112

Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.

65 services62 patients

Evaluation of fine needle aspirate with interpretation and report 88173

This procedure involves using a thin needle to collect a small sample from an abnormal area or lump. The sample is then examined under a microscope to identify any potential issues. A report of the findings is provided for further analysis.

58 services32 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

48 services14 patients

Special stained specimen slides to examine tissue, initial procedure 88342

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

36 services29 patients

Pathology examination of tissue using a microscope, moderately high complexity 88307

A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.

22 services13 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Joseph Regional Medical Center

Acute Care Hospitals · Mishawaka, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150012

Location5215 Holy Cross PkwyMishawaka, IN 46545 · St. Joseph County

Emergency services Birthing friendly

Elkhart General Hospital

Acute Care Hospitals · Elkhart, IN

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number150018

Location600 E BlvdElkhart, IN 46514 · Elkhart County

Emergency services Birthing friendly

Memorial Hospital Of South Bend

Acute Care Hospitals · South Bend, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150058

Location615 N Michigan StSouth Bend, IN 46601 · St. Joseph County

Emergency services Birthing friendly

Memorial Hospital

Acute Care Hospitals · Logansport, IN

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number150072

Location1101 Michigan AveLogansport, IN 46947 · Cass County

Emergency services Birthing friendly

Borgess Medical Center

Acute Care Hospitals · Kalamazoo, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230117

Location1521 Gull RoadKalamazoo, MI 49048 · Kalamazoo County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49048 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DONNA ANDRESEN

Social Worker

1521 GULL RD
KALAMAZOO, MI 49048

Kalamazoo County (269) 226-7027

MRS. KELSEY DANIELLE NICHOLS OTR/L

Occupational Therapist

1521 GULL RD
KALAMAZOO, MI 49048

Kalamazoo County (269) 226-7000

MICHAEL TREXLER

Internal Medicine (Hospice and Palliative Medicine)

1521 GULL RD, SUITE 173
KALAMAZOO, MI 49048

Kalamazoo County (269) 226-5165

GRETCHEN G BARNAS M.D.

Psychiatry & Neurology (Psychiatry)

1521 GULL RD
KALAMAZOO, MI 49048

Kalamazoo County (269) 226-6653

NILE KHABEIRY

Counselor (Professional)

1521 GULL RD
KALAMAZOO, MI 49048

Kalamazoo County (269) 501-0155

REBECCA MARY CRONIN PA-C

Physician Assistant

1521 GULL RD
KALAMAZOO, MI 49048

Kalamazoo County (269) 226-7000

NAOMI ELIZABETH MPOLOKOSO RN, LLMSW

Social Worker (Clinical)

1521 GULL RD
KALAMAZOO, MI 49048

Kalamazoo County (269) 226-8133

DR. REBECCA S MAYNARD PHARMD

Pharmacist

1521 GULL RD, INPATIENT PHARMACY
KALAMAZOO, MI 49048

Kalamazoo County (269) 226-6645

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 Andrew Kobalka's NPI number?

The NPI number for Andrew Kobalka is 1235797861. It was assigned to this individual provider in the NPPES registry on May 29, 2019.

Where is Andrew Kobalka located?

Andrew Kobalka practices at 1521 Gull Rd, Kalamazoo, MI 49048. The listed phone number is (269) 226-7231.

What is Andrew Kobalka's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Andrew Kobalka enrolled in Medicare?

Yes. Andrew Kobalka is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Andrew Kobalka's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Kobalka reassigns Medicare benefits to 3 organizations: Michigan Pathology Specialists PC (Grand Rapids, MI), Legacy Path LLC (South Bend, IN) and South Bend Medical Foundation, Inc (South Bend, IN). Each 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 Andrew Kobalka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Andrew Kobalka affiliated with any hospitals?

According to CMS data, Andrew Kobalka is affiliated with Saint Joseph Regional Medical Center, Elkhart General Hospital, Memorial Hospital Of South Bend, Memorial Hospital and Borgess Medical Center.

When was this NPI record last updated?

The NPPES record for Andrew Kobalka was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.