TED KOVACEV MD
NPI 1588215933
Surgery in Lake Jackson, TX

Q: What is Dr Ted Kovacev MD PA's NPI number?

The NPI number for Dr Ted Kovacev MD PA is 1588215933. It was assigned to this organization in the NPPES registry on September 26, 2019. The provider is also known as Ted Kovacev MD.

Q: What is Dr Ted Kovacev MD PA's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since September 26, 2019

104 CIRCLE WAY ST STE A, LAKE JACKSON, TX 77566(979) 721-7007(979) 721-4254 Get Directions Write a Review

NPPES record last updated: May 4, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 4, 2022, Sep 26, 2019 (2 updates tracked since 2019).

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About Ted Kovacev Md NPPES

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

TED KOVACEV MD (NPI 1588215933) is a healthcare organization registered as a surgery in Lake Jackson, Texas and active in the NPI registry since September 2019. The organization lists Diane Brooke Kovacev, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1588215933

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameDR TED KOVACEV MD PA

Location Address104 CIRCLE WAY ST STE ALake Jackson, TX 77566-5200

Mailing Address104 Circle Way St Ste ALake Jackson, TX 77566-5200 · (979) 721-7007 · Fax (979) 721-4254

Phone(979) 721-7007

Fax(979) 721-4254

Organization SubpartNo

Authorized OfficialDiane Brooke KovacevPractice Manager · (979) 721-7007

Enumeration DateSeptember 26, 2019

Last NPPES UpdateMay 4, 20222 updates tracked since enumeration

NPPES CertifiedMay 4, 2022

✔ NPI 1588215933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

104 CIRCLE WAY ST STE A, Lake Jackson, TX 77566

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Other Names 1

Other NameTed Kovacev Md

Other Identifiers 1

Medicaid4042707-01TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ted Kovacev Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Ted Kovacev MD, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ted Kovacev, MD

General Surgery

NPI 1568614402

104 CIRCLE WAY ST STE A
Lake Jackson, TX 77566

(979) 721-7007

✔ PECOS✔ Accepts MedicareSame address

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

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 Dr Ted Kovacev MD PA's NPI number?

The NPI number for Dr Ted Kovacev MD PA is 1588215933. It was assigned to this organization in the NPPES registry on September 26, 2019. The provider is also known as Ted Kovacev MD.

Where is Dr Ted Kovacev MD PA located?

Dr Ted Kovacev MD PA is located at 104 Circle Way St Ste A, Lake Jackson, TX 77566. The listed phone number is (979) 721-7007.

What is Dr Ted Kovacev MD PA's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Dr Ted Kovacev MD PA enrolled in Medicare?

Yes. Dr Ted Kovacev MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dr Ted Kovacev MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Dr Ted Kovacev MD PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dr Ted Kovacev MD PA was last updated on May 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.