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MICHAEL KOVACICH MD
NPI 1558363309
Family Medicine in St John, IN

Active since August 11, 2005
9660 WICKER AVE, STE 100E, ST JOHN, IN 46373(219) 365-1166(219) 365-8852 Get Directions Write a Review

NPPES record last updated: November 28, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael Kovacich Md NPPES

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

MICHAEL KOVACICH MD (NPI 1558363309) is an individual family medicine provider in St John, Indiana, licensed in Indiana (01033371A) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1558363309
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICHAEL KOVACICHCredential: MD
Location Address9660 WICKER AVE, STE 100ESt John, IN 46373-9487
Mailing Address9660 Wicker Ave, Ste 100eSt John, IN 46373-9487 · (219) 365-1166 · Fax (219) 365-8852
Phone(219) 365-1166
Fax(219) 365-8852
Sole ProprietorNo
Enumeration DateAugust 11, 2005
Last NPPES UpdateNovember 28, 2012
✔ NPI 1558363309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 01033371A
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.
9660 WICKER AVE, St John, IN 46373
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Other Identifiers 7

Medicare UPIND69803
Medicare PINM400033974IN
Other000000375704IN · Anthem
Medicare PIN142650KIN
Medicaid100212020IN
Medicare UPIND69803IN
Medicare PINM400073247IN

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.

MARGARITA VEGA-SUAREZ FNP-C
Nurse Practitioner (Family)
9660 WICKER AVE, 2ND FL
SAINT JOHN, IN 46373
Lake County (219) 703-2417
DR. TASHA M HARRIS MD
Emergency Medicine
9660 WICKER AVE
ST. JOHN, IN 46373
Lake County (219) 365-7620
SAADUDDIN MOHAMMED SIDDIQUI MD
Emergency Medicine
9660 WICKER AVE
SAINT JOHN, IN 46373
Lake County (219) 365-1177
MUNSTER ORTHOPAEDIC INSTITUTE, LLC
Orthopaedic Surgery
9660 WICKER AVE
SAINT JOHN, IN 46373
Lake County (219) 677-4940
MS. ALICIA FOWLER NP-C
Nurse Practitioner (Family)
9660 WICKER AVE
SAINT JOHN, IN 46373
Lake County (219) 365-1177
MUNSTER ORTHOPAEDIC INSTITUTE, LLC
Durable Medical Equipment & Medical Supplies
9660 WICKER AVE
SAINT JOHN, IN 46373
Lake County (219) 836-2225
ALONZO KEVIN MORRISSEY MD
Family Medicine
9660 WICKER AVE
ST JOHN, IN 46373
Lake County (219) 365-1166
MARNE J JUESTEL FNP
Nurse Practitioner
9660 WICKER AVE
SAINT JOHN, IN 46373
Lake County (219) 365-1177

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 Michael Kovacich's NPI number?

The NPI number for Michael Kovacich is 1558363309. It was assigned to this individual provider in the NPPES registry on August 11, 2005.

Where is Michael Kovacich located?

Michael Kovacich practices at 9660 Wicker Ave Ste 100E, St John, IN 46373. The listed phone number is (219) 365-1166.

What is Michael Kovacich's specialty?

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

When was this NPI record last updated?

The NPPES record for Michael Kovacich was last updated on November 28, 2012. 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.