MR. JOHN ALEXANDER KAWA (PA-C) – Physician Assistant, NPI 1366722456

MR. JOHN ALEXANDER KAWA (PA-C) is a healthcare provider. based in New london, Connecticut. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for MR. JOHN ALEXANDER KAWA (PA-C) is 1366722456

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
MR. JOHN ALEXANDER KAWA (PA-C)
NPI
1366722456
Phone
(860) 442-0711
Address
365 MONTAUK AVE
Enumeration Date
22 August 2011
Last Update Date
22 August 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8604420711
Graduation Year
2011 (15 years ago)
PAC ID
8325212277
Group Practice PAC ID
5991792053
Professional Enrollment ID
I20111111000071
Address ID
CT063204700NE365XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:14State licenses:0Digital endpointsOther names

3,257 PHYSICIAN ASSISTANT in CT

Provider Addresses for MR. JOHN ALEXANDER KAWA (PA-C)

  • 365 MONTAUK AVE

    NEW LONDON, CT 063204700

    Phone: (860) 442-0711

    Fax: (860) 444-3717

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-08-30

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111111000071IPhysician AssistantCTTBD
I20180830003433IPhysician AssistantRITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making166165$0
99285Emergency department visit with high level of medical decision making8179$0
99283Emergency department visit with low level of medical decision making7878$0
View full utilization report →

Insurance plans in this area (ZIP 06320)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5991792053View full group profile
NameSpecialtyState
Emergency MedicineCT
Emergency MedicineCT
Emergency MedicineCT
Emergency MedicineRI
Physician AssistantRI
Emergency MedicineCT
Emergency MedicineNY
Emergency MedicineCT
Physician AssistantCT
Emergency MedicineCT

Reviews

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Frequently asked questions

What federal number belongs to MR. JOHN ALEXANDER KAWA (PA-C)?
The federal identifier for MR. JOHN ALEXANDER KAWA (PA-C) is NPI 1366722456.
Is MR. JOHN ALEXANDER KAWA (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MR. JOHN ALEXANDER KAWA (PA-C) list a primary specialty?
If you are matching referrals, note Physician Assistant for MR. JOHN ALEXANDER KAWA (PA-C). Clinical services aligned with this taxonomy classification.
Where is MR. JOHN ALEXANDER KAWA (PA-C)'s primary listing?
We display New London, Connecticut because that is what the record indicates for MR. JOHN ALEXANDER KAWA (PA-C).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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