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DR. THOMAS WILLIAM KONOWALCHUK MD, JD
NPI 1679856439
General Practice in Newport, OR

Active since September 27, 2011PECOS Enrolled
1070 NE 7TH DR, NEWPORT, OR 97365(541) 265-3804 Get Directions Write a Review

NPPES record last updated: July 23, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Thomas William Konowalchuk Md, Jd NPPES

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

DR. THOMAS WILLIAM KONOWALCHUK MD, JD (NPI 1679856439) is an individual general practice provider in Newport, Oregon, licensed in Oregon (15049) and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679856439
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. THOMAS WILLIAM KONOWALCHUKCredential: MD, JD
Location Address1070 NE 7TH DRNewport, OR 97365-2518
Mailing Address1070 Ne 7th DrNewport, OR 97365-2518 · (541) 265-3804
Phone(541) 265-3804
Sole ProprietorYes
Enumeration DateSeptember 27, 2011
Last NPPES UpdateJuly 23, 2020
NPPES CertifiedJuly 23, 2020
✔ NPI 1679856439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in OR · 15049
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedUrologyTaxonomy 208800000X · License 15049 (OR)
1070 NE 7TH DR, Newport, OR 97365
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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, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Thomas William Konowalchuk Md, Jd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Thomas Konowalchuk's NPI number?

The NPI number for Thomas Konowalchuk is 1679856439. It was assigned to this individual provider in the NPPES registry on September 27, 2011.

Where is Thomas Konowalchuk located?

Thomas Konowalchuk practices at 1070 NE 7th Dr, Newport, OR 97365. The listed phone number is (541) 265-3804.

What is Thomas Konowalchuk's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Thomas Konowalchuk enrolled in Medicare?

Yes. Thomas Konowalchuk is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Thomas Konowalchuk was last updated on July 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.