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DR. DAVID MICHAEL KOWALCZYK M.D., M.B.A.
NPI 1437599842
Otolaryngology in Chicago, IL

Active since June 29, 2013PECOS EnrolledAccepts Medicare Assignment
1855 W TAYLOR ST # MC648, CHICAGO, IL 60612(312) 255-8812(312) 255-8904 Get Directions Write a Review

NPPES record last updated: July 9, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. David Michael Kowalczyk M.d., M.b.a. NPPES

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

DR. DAVID MICHAEL KOWALCZYK M.D., M.B.A. (NPI 1437599842) is an individual otolaryngology provider in Chicago, Illinois, licensed in Illinois (036.147526) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS and is a graduate of Virginia Commonwealth University, School Of Medicine (2013).

NPPES Registry Identity

NPI1437599842
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. DAVID MICHAEL KOWALCZYKCredential: M.D., M.B.A.
Location Address1855 W TAYLOR ST # MC648Chicago, IL 60612-7242
Mailing Address3449 N Marshfield Ave Unit 1Chicago, IL 60657-1213 · (601) 937-8766
Phone(312) 255-8812
Fax(312) 255-8904
Sole ProprietorYes
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 2013
Enumeration DateJune 29, 2013
Last NPPES UpdateJuly 9, 2019
✔ NPI 1437599842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in IL · 036.147526✔ Licensed in MS · T-2685
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1855 W TAYLOR ST # MC648, Chicago, IL 60612
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. David Michael Kowalczyk M.d., M.b.a. 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 ID244554137
PECOS Enrollment IDI20200818003330
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.

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
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 2

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

DR. YANNEK ISAAC LEIDERMAN M.D., PH.D.
Ophthalmology
1855 W TAYLOR ST # MC648, UIC DEPT OF OPHTHALMOLOGY AND VISUAL SCIENCES
CHICAGO, IL 60612
Cook County (312) 413-4999
JOSHUA HONGHAN HOU MD
Ophthalmology
1855 W TAYLOR ST # MC648, UNIVERSITY OF ILLINOIS EYE AND EAR INFIRMARY
CHICAGO, IL 60612
Cook County (312) 996-6590

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 Kowalczyk's NPI number?

The NPI number for David Kowalczyk is 1437599842. It was assigned to this individual provider in the NPPES registry on June 29, 2013.

Where is David Kowalczyk located?

David Kowalczyk practices at 1855 W Taylor St # Mc648, Chicago, IL 60612. The listed phone number is (312) 255-8812.

What is David Kowalczyk's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is David Kowalczyk enrolled in Medicare?

Yes. David Kowalczyk 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.

What insurance does David Kowalczyk accept?

Health plans from Medica list David Kowalczyk 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 David Kowalczyk was last updated on July 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.