DR. THOMAS WILLIAM KONOWALCHUK MD, JD
NPI 1679856439
General Practice in Newport, OR
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
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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).
Medicare Billing Reassignment
Medicare enrollment records show Thomas Konowalchuk reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dallas, TX 75244
- Reassigned Medicare billing, Oregon enrollment
- 182 clinicians in this Medicare group
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 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.
Which organization bills Medicare for Thomas Konowalchuk's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Konowalchuk reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, TX). The 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 Thomas Konowalchuk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Dr. Thomas William Konowalchuk, MD, JD · NPI 1679856439
General Practice physician in Newport, Oregon. Individual provider, active in the CMS NPPES registry since September 27, 2011.
## Identity
- **NPI:** 1679856439 (Entity type: Individual)
- **Enumerated:** September 27, 2011
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** 15049 (Oregon)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1070 NE 7TH DR, Newport, OR 97365-2518
- **Phone:** (541) 265-3804
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Signify Health Medical Associates, PLLC (NPI 1750845863, Dallas, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 23, 2020
---
Source: [NPI Profile](https://npiprofile.com/npi/1679856439) · Data from the CMS NPPES public registry.