THOMAS E. KOWALSKI M.D.
NPI 1952360596
Internal Medicine - Gastroenterology in Phila, PA

Q: What is Thomas Kowalski's NPI number?

The NPI number for Thomas Kowalski is 1952360596. It was assigned to this individual provider in the NPPES registry on March 22, 2006.

Q: What is Thomas Kowalski's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Kowalski was last updated on October 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.

Active since March 22, 2006PECOS EnrolledAccepts Medicare Assignment

1101 CHESTNUT ST, PHILA, PA 19107(215) 955-8900(215) 955-5245 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Thomas E. Kowalski M.d. NPPES

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

THOMAS E. KOWALSKI M.D. (NPI 1952360596) is an individual gastroenterology provider in Phila, Pennsylvania, licensed in Pennsylvania (MD044010L) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Thomas Jefferson University Hospital, and is a graduate of State University Of New York At Buffalo School Of Medicine (1988).

NPPES Registry Identity

NPI1952360596

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameTHOMAS E. KOWALSKICredential: M.D.

Location Address1101 CHESTNUT STPhila, PA 19107-3612

Mailing Address132 S 10th St, 480 Main BuildingPhila, PA 19107-5244 · (215) 955-8900 · Fax (215) 955-5245

Phone(215) 955-8900

Fax(215) 955-5245

Sole ProprietorYes

Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1988

Enumeration DateMarch 22, 2006

Last NPPES UpdateOctober 28, 2024

NPPES CertifiedOctober 28, 2024

✔ NPI 1952360596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in PA · MD044010L

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

1101 CHESTNUT ST, Phila, PA 19107

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Other Identifiers 1

Medicaid0012988990005PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Thomas E. Kowalski M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406954213

PECOS Enrollment IDI20070601000281

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.

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

67 services42 patients

Insertion of stent into pancreatic or bile duct using a flexible endoscope 43274

This procedure involves the placement of a tiny tube, known as a stent, into your pancreatic or bile duct. A flexible endoscope, a long, thin instrument with a light and camera, is used. It aids in relieving blockages and improving flow in these ducts.

52 services41 patients

Replacement of stent in pancreatic or bile duct using a flexible endoscope 43276

This procedure involves replacing an existing stent in your pancreatic or bile duct. A flexible endoscope, a tube-like device with a light and camera, is used to view and access the area. The old stent is removed and a new one is placed to help keep the duct open.

50 services24 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

49 services44 patients

Removal of stone or debris from bile or pancreatic duct using a flexible endoscope 43264

This procedure, called an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible tube with a camera (endoscope) to locate and remove stones or debris from your bile or pancreatic duct. It's a non-surgical method to clear the ducts, enhancing your digestive health.

44 services35 patients

Ultrasound guided needle aspiration or biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43242

This procedure involves using an ultrasound to guide a needle to specific areas in the esophagus, stomach, or upper small bowel. A flexible endoscope is used to reach these areas. The needle collects a small sample for testing.

39 services37 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

39 services38 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

27 services24 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

26 services26 patients

Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43259

This procedure involves a flexible tube with a camera, called an endoscope, inserted through your mouth to examine your esophagus, stomach, and upper small bowel. An ultrasound device on the endoscope helps get detailed images. It's safe and helps diagnose various conditions.

24 services22 patients

Incision of pancreatic outlet using a flexible endoscope 43262

This procedure involves a small cut in the outlet of the pancreas using a flexible tube with a camera, called an endoscope. It helps doctors diagnose and treat conditions affecting the pancreas, enhancing patient comfort and recovery.

16 services16 patients

Review by radiologist of image from tube placement into bile and pancreatic duct using an endoscope 74330

This procedure involves a radiologist examining images from a tube placement in your bile and pancreatic duct. An endoscope, a flexible tube with a light and camera, is used to help guide this process. It assists in diagnosing and treating conditions related to these ducts.

15 services14 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

14 services12 patients

Biopsy of gallbladder, pancreatic, liver, and bile ducts using a flexible endoscope 43261

This procedure involves using a flexible tube, called an endoscope, to examine and take small tissue samples from your gallbladder, pancreas, liver, and bile ducts. These samples can help diagnose various conditions.

13 services11 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

13 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390174

Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County

Emergency services Birthing friendly

Main Line Hospital Lankenau

Acute Care Hospitals · Wynnewood, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390195

Location100 Lancaster AveWynnewood, PA 19096 · Montgomery County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

EMILY RUBIN R.D.

Dietitian, Registered

1101 CHESTNUT ST
PHILA, PA 19107

Philadelphia County (215) 955-8900

LAUREL VIRGINIA KOVALCHICK MD

Psychiatry & Neurology (Neurology)

1101 CHESTNUT ST
PHILADELPHIA, PA 19107

Philadelphia County (215) 955-1234

CHRISTOPHER JAMES ADKINS M.D.

Internal Medicine (Gastroenterology)

1101 CHESTNUT ST
PHILA, PA 19107

Philadelphia County (215) 955-8900

SARAH F ADAMS CCC-SLP

Speech-Language Pathologist

1101 CHESTNUT ST
PHILADELPHIA, PA 19107

Philadelphia County (215) 955-6760

REBECCA LOH

Internal Medicine (Gastroenterology)

1101 CHESTNUT ST
PHILADELPHIA, PA 19107

Philadelphia County (215) 955-8900

EDDIE DIAZ SERRANO AUD

Audiologist

1101 CHESTNUT ST
PHILADELPHIA, PA 19107

Philadelphia County (215) 955-6760

RORY MARGARET ANDERSON CRNP

Nurse Practitioner (Family)

1101 CHESTNUT ST
PHILADELPHIA, PA 19107

Philadelphia County (800) 533-3669

MAEVE CALLAHAN CRNP

Nurse Practitioner (Adult Health)

1101 CHESTNUT ST
PHILADELPHIA, PA 19107

Philadelphia County (800) 533-3669

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 Kowalski's NPI number?

The NPI number for Thomas Kowalski is 1952360596. It was assigned to this individual provider in the NPPES registry on March 22, 2006.

Where is Thomas Kowalski located?

Thomas Kowalski practices at 1101 Chestnut St, Phila, PA 19107. The listed phone number is (215) 955-8900.

What is Thomas Kowalski's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Thomas Kowalski enrolled in Medicare?

Yes. Thomas Kowalski is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Thomas Kowalski accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Thomas Kowalski 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.

Is Thomas Kowalski affiliated with any hospitals?

According to CMS data, Thomas Kowalski is affiliated with Thomas Jefferson University Hospital and Main Line Hospital Lankenau.

When was this NPI record last updated?

The NPPES record for Thomas Kowalski was last updated on October 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.