CAROL J KOVANDA (MD) – Obstetrics & Gynecology Physician, NPI 1487654448

CAROL J KOVANDA (MD) is a healthcare provider. based in Tacoma, Washington. specializing in Obstetrics & Gynecology Physician. They hold the professional credentials MD. They hold a License No. MD00021017 (WA). The NPI Number for CAROL J KOVANDA (MD) is 1487654448

Main info

Female
47 Years Of Experience
Accepts Medicare Assignment
Name
CAROL J KOVANDA (MD)
NPI
1487654448
Phone
(253) 403-5432
Address
314 MARTIN LUTHER KING JR WAY
Enumeration Date
29 July 2005
Last Update Date
30 January 2012

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
-
Graduation Year
1979 (47 years ago)
PAC ID
4587837794
Group Practice PAC ID
7719899897
Professional Enrollment ID
I20111103000818
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for CAROL J KOVANDA (MD)

  • 314, Martin Luther King Jr Way, G Street Neighborhood, Tacoma, Pierce County, Washington, 98405, United States

    STE 104

    TACOMA, WA 984054250

    Phone: (253) 403-5432

    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: 2011-11-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20111103000818IObstetrics/GynecologyWATBD

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
57425Surgical repair of vaginal defect using an endoscope1616$0
57288Creation of sling around urethra in female to control leakage1111$0
View full utilization report →

Insurance plans in this area (ZIP 98405)

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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: 7719899897View full group profile
NameSpecialtyState
Physician AssistantWA
Nurse PractitionerWA
-IL
O P H T H A L M O L O G YOR
O P H T H A L M O L O G YWA
Nurse PractitionerWA
Family PracticeWA
Interventional Radiology, Diagnostic RadiologyOH
Physician AssistantID
Clinical PsychologistWA

Reviews

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Frequently asked questions

Is there an official ID for CAROL J KOVANDA (MD) in U.S. healthcare records?
The official identifier for CAROL J KOVANDA (MD) is NPI 1487654448.
Would CAROL J KOVANDA (MD) appear as active to a payer?
You can treat CAROL J KOVANDA (MD) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for CAROL J KOVANDA (MD)?
At a glance, CAROL J KOVANDA (MD) is tied to Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Where in Washington is CAROL J KOVANDA (MD) registered?
Use Tacoma, Washington as the headline location for CAROL J KOVANDA (MD) here.
Does CAROL J KOVANDA (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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