PORT HURON NEUROLOGIC ASSOCIATES P.C.
NPI 1699946459
Psychiatry & Neurology - Neurology in Fort Gratiot, MI

Active since March 19, 2008
3825 24TH AVE, FORT GRATIOT, MI 48059(810) 982-0100(810) 982-0365 Get Directions Write a Review

NPPES record last updated: October 29, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Port Huron Neurologic Associates P.c. NPPES

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

PORT HURON NEUROLOGIC ASSOCIATES P.C. (NPI 1699946459) is a healthcare organization registered as a neurology in Fort Gratiot, Michigan and active in the NPI registry since March 2008. The organization lists Richard Ralph Kovar, President, as its authorized official.

NPPES Registry Identity

NPI1699946459
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NamePORT HURON NEUROLOGIC ASSOCIATES P.C.
Location Address3825 24TH AVEFort Gratiot, MI 48059-4100
Mailing Address3825 24th AveFort Gratiot, MI 48059-4100 · (810) 982-0100 · Fax (810) 982-0365
Fax(810) 982-0365
Organization SubpartNo
Authorized OfficialRichard Ralph KovarPresident · (810) 982-0100
Enumeration DateMarch 19, 2008
Last NPPES UpdateOctober 29, 2019
✔ NPI 1699946459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in MI · 5101011111
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
3825 24TH AVE, Fort Gratiot, MI 48059

Other Identifiers 2

Medicaid3072470-11MI
Other5740293MI · Bcbs

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Port Huron Neurologic Associates P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Port Huron Neurologic Associates P.C., which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Neurology
NPI 1235147844
3825 24TH AVE
Fort Gratiot, MI 48059
(810) 982-0100
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1891099131
45421 MARKETPLACE BLVD
Chesterfield, MI 48051
(586) 900-2110
✔ Accepts Medicare33 mi

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 Port Huron Neurologic Associates P.C.'s NPI number?

The NPI number for Port Huron Neurologic Associates P.C. is 1699946459. It was assigned to this organization in the NPPES registry on March 19, 2008.

Where is Port Huron Neurologic Associates P.C. located?

Port Huron Neurologic Associates P.C. is located at 3825 24th Ave, Fort Gratiot, MI 48059. The listed phone number is (810) 982-0100.

What is Port Huron Neurologic Associates P.C.'s specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Port Huron Neurologic Associates P.C. enrolled in Medicare?

Yes. Port Huron Neurologic Associates P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Port Huron Neurologic Associates P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Port Huron Neurologic Associates P.C., in Neurology and Physical Therapist in Private Practice. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Port Huron Neurologic Associates P.C. accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Port Huron Neurologic Associates P.C. 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 Port Huron Neurologic Associates P.C. was last updated on October 29, 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.