DR. HEATHER RENEE KOWALSKI MD
NPI 1386809374
Orthopaedic Surgery - Pediatric Orthopaedic Surgery in Iowa City, IA
NPI Status: Active since July 19, 2008
Contact Information
200 HAWKINS DR
IOWA CITY, IA
ZIP 52242
Phone: (319) 356-2223
Fax: (319) 353-6754
- Individual
- Female
- Orthopaedic Surgery
- Pediatric Orthopaedic Surgery
- Accepts Insurance
- PECOS Enrolled
About HEATHER KOWALSKI
This page provides the complete NPI Profile along with additional information for Heather Kowalski, a provider established in Iowa City, Iowa with a medical specialization in Orthopaedic Surgery, focusing in pediatric orthopaedic surgery . The healthcare provider is registered in the NPI registry with number 1386809374 assigned on July 2008. The practitioner's primary taxonomy code is 207XP3100X with license number MD 41960 (IA). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1386809374
- Provider Name
- DR. HEATHER RENEE KOWALSKI MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 200 HAWKINS DR IOWA CITY, IA 52242
- Location Phone
- (319) 356-2223
- Location Fax
- (319) 353-6754
- Mailing Address
- 200 HAWKINS DR IOWA CITY, IA 52242
- Mailing Phone
- (319) 356-2223
- Mailing Fax
- (319) 353-6754
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-19-2008
- Last Update Date
- 09-02-2025
- Code Navigator
Location Map
Secondary Locations
- 8605 Chambery Blvd
Johnston, IA 50131
(877) 891-5350 - 701 W Forevergreen Rd
North Liberty, IA 52317
(319) 356-2223 - 777 Mazzuchelli Pl
Dubuque, IA 52001
(877) 891-5350 - 2901 86th St
Urbandale, IA 50322
(515) 457-2960 - 2624 Orchard Dr
Cedar Falls, IA 50613
(877) 891-5350
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Orthopaedic Surgery Pediatric Orthopaedic Surgery
- Taxonomy Code
- 207XP3100X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD 41960
- License State
- IA
- Taxonomy Description
- An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | MD 41960 (IA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Medica Insure Bronze $0 Copay PCP Visits - EPO
- Medica Insure Bronze Premier - EPO
- Medica Insure Bronze Share - EPO
- Medica Insure Expanded Bronze Standard - EPO
- Medica Insure Gold $0 Copay PCP Visits - EPO
- Medica Insure Gold Share - EPO
- Medica Insure Gold Standard - EPO
- Medica Insure Silver $0 Copay PCP Visits - EPO
- Medica Insure Silver Share - EPO
- Medica Insure Silver Standard - EPO
- Sanford Individual Simplicity $1,750 - PPO
- Sanford Individual Simplicity $10,600 - PPO
- Sanford Individual Simplicity $3,500 - PPO
- Sanford Individual Simplicity $4,750 - PPO
- Sanford Individual Simplicity $6,500 - PPO
- Sanford Individual Simplicity $7,200 HSA Qualified - PPO
- Sanford Individual Simplicity Standardized $2,000 - PPO
- Sanford Individual Simplicity Standardized $6,000 - PPO
- Sanford Individual Simplicity Standardized $7,500 - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Heather Kowalski is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Wheelchairs (DD000N)
High strength, lightweight wheelchair (HCPCS:K0004)
1 DME suppliers used 11 Medicare Claims 11 Services Paid
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1386809374, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 66 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386809374, enumerated as an "individual" on July 19, 2008.
The provider is located at 200 HAWKINS DR IOWA CITY, IA 52242 and the phone number is (319) 356-2223.
Orthopaedic Surgery with taxonomy code 207XP3100X and a focus in Pediatric Orthopaedic Surgery.
The provider might be accepting Accepts: Medica and Sanford Health Plan. Please consult your insurance carrier or call the provider to verify.
