EDWARD H. KOVNAR M.D.
NPI 1366472524
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Milwaukee, WI
About Edward H. Kovnar M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDWARD H. KOVNAR M.D. (NPI 1366472524) is an individual neurology with special qualifications in child neurology provider in Milwaukee, Wisconsin, licensed in Wisconsin (24320) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1977).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
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
Edward H. Kovnar M.d. 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.
Medicare Billing Reassignments
4Medicare enrollment records show Edward Kovnar reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Milwaukee, WI 53209
- Reassigned Medicare billing, Wisconsin enrollment
- 1,615 clinicians in this Medicare group
Milwaukee, WI 53226
- Reassigned Medicare billing, Wisconsin enrollment
- 3,983 clinicians in this Medicare group
Milwaukee, WI 53226
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: Childrens Specialty Group Inc
- 424 clinicians in this Medicare group
Milwaukee, WI 53215
- Reassigned Medicare billing, Wisconsin enrollment
- 4,609 clinicians in this Medicare group
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
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53209 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MILWAUKEE, WI 53209
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 Edward Kovnar's NPI number?
The NPI number for Edward Kovnar is 1366472524. It was assigned to this individual provider in the NPPES registry on July 4, 2006.
Where is Edward Kovnar located?
Edward Kovnar practices at 3003 W Good Hope Rd, Milwaukee, WI 53209. The listed phone number is (414) 352-3100.
What is Edward Kovnar's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.
Is Edward Kovnar enrolled in Medicare?
Yes. Edward Kovnar 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 Edward Kovnar's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edward Kovnar reassigns Medicare benefits to 4 organizations: Aurora Advanced Healthcare, Inc. (Milwaukee, WI), The Medical College Of Wisconsin, Inc. (Milwaukee, WI), Children's Specialty Group, Inc. (Milwaukee, WI) and Aurora Medical Group, Inc. (Milwaukee, WI). 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 Edward Kovnar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Edward Kovnar accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), Dean Health Plan and HealthPartners and 2 other insurers list Edward Kovnar as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Edward Kovnar was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Edward H. Kovnar, M.D. · NPI 1366472524
Neurology with Special Qualifications in Child Neurology physician in Milwaukee, Wisconsin. Individual provider, active in the CMS NPPES registry since July 4, 2006.
## Identity
- **NPI:** 1366472524 (Entity type: Individual)
- **Enumerated:** July 4, 2006
- **Primary specialty:** Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology · taxonomy 2084N0402X
- **State license:** 24320 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 3003 W GOOD HOPE RD, Milwaukee, WI 53209-2042
- **Phone:** (414) 352-3100 · **Fax:** (414) 247-4597
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Aurora Advanced Healthcare, Inc. (NPI 1265629133, Milwaukee, WI); The Medical College Of Wisconsin, Inc. (NPI 1699720086, Milwaukee, WI); Children's Specialty Group, Inc. (NPI 1942970405, Milwaukee, WI); Aurora Medical Group, Inc. (NPI 1659599157, Milwaukee, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1977
## Record status
- **NPPES last updated:** July 14, 2025
- **Other identifiers:** Medicaid 1366472524 (WI); Medicaid 30463000 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1366472524) · Data from the CMS NPPES public registry.