THOMAS M KOWALAK MD
NPI 1033163944
Emergency Medicine - Emergency Medical Services in Orchard Park, NY

NPI Status: Active since May 22, 2006

Contact Information

3669 SOUTHWESTERN BLVD
ORCHARD PARK, NY
ZIP 14127
Phone: (716) 688-2154
Fax: (716) 204-4501

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  • Individual
  • Male
  • Emergency Medicine
  • Emergency Medical Services
  • PECOS Enrolled

About THOMAS KOWALAK

This page provides the complete NPI Profile along with additional information for Thomas Kowalak, a provider established in Orchard Park, New York with a medical specialization in Emergency Medicine, focusing in emergency medical services . The healthcare provider is registered in the NPI registry with number 1033163944 assigned on May 2006. The practitioner's primary taxonomy code is 207PE0004X with license number 180089 (NY). The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI
1033163944
Provider Name
THOMAS M KOWALAK MD
Gender
Male
Entity Type
Individual
Location Address
3669 SOUTHWESTERN BLVD ORCHARD PARK, NY 14127
Location Phone
(716) 688-2154
Location Fax
(716) 204-4501
Mailing Address
2530 E RIVER RD GRAND ISLAND, NY 14072
Mailing Phone
(716) 775-9247
Mailing Fax
(716) 204-4501
Is Sole Proprietor?
No
Enumeration Date
05-22-2006
Last Update Date
09-27-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Emergency Medicine Emergency Medical Services

Taxonomy Code
207PE0004X
Type
Allopathic & Osteopathic Physicians
License No.
180089
License State
NY
Taxonomy Description
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
01222559MEDICAID (05)NY 
RB0173MEDICARE PIN (08)NY 

Medicare Participation & PECOS Enrollment Status

Thomas Kowalak is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 14127 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $84.93
  • Minimum New Patient Price $54.87
  • Maximum New Patient Price $166.88
  • Average New Patient Copayment $21.23
  • Minimum New Patient Copayment $13.71
  • Maximum New Patient Copayment $41.72

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $97.08
  • Minimum Established Patient Price $17.54
  • Maximum Established Patient Price $136.14
  • Average Established Patient Copayment $24.27
  • Minimum Established Patient Copayment $4.38
  • Maximum Established Patient Copayment $34.03

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for THOMAS M KOWALAK MD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1033163944
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
206326698
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 2 + 6 + 6 + 9 + 8 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1033163944 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 15 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1871546572 ASHOK X KAUSHAL MD
Individual
Emergency Medicine (Emergency Medical Services)3669 SOUTHWESTERN BLVD
ORCHARD PARK, NY 14127
(716) 204-4500
1619920428 NANCY CZYRNY EBLING DO
Individual
Emergency Medicine (Emergency Medical Services)3669 SOUTHWESTERN BLVD MERCY AMBULATORY CARE CENTER
ORCHARD PARK, NY 14127
(716) 688-2154
1871546630 JOHN PATRICK FITZGERALD MD
Individual
Emergency Medicine (Emergency Medical Services)3669 SOUTHWESTERN BLVD MERCY AMBULATORY CARE CENTER
ORCHARD PARK, NY 14127
(716) 204-4500
1467409870 MAYNARD LUTERMAN MD
Individual
Emergency Medicine (Emergency Medical Services)3669 SOUTHWESTERN BLVD
ORCHARD PARK, NY 14127
(716) 204-4500
1881737609MS. CARY B CARTONIA ATC, PES
Individual
Specialist/Technologist (Athletic Trainer)3669 SOUTHWESTERN BLVD
ORCHARD PARK, NY 14127
(716) 828-2455
1891010153MS. JULIE MARIE LUKA ATC
Individual
Specialist/Technologist (Athletic Trainer)3669 SOUTHWESTERN BLVD
ORCHARD PARK, NY 14127
(716) 828-2455
1023158771 MILTON L POZO MD
Individual
Emergency Medicine3669 SOUTHWESTERN BLVD
ORCHARD PARK, NY 14127
(716) 821-4513
1730584178 COLLEEN BONDANZA PT
Individual
Physical Therapist3669 SOUTHWESTERN BLVD
ORCHARD PARK, NY 14127
(716) 828-2455
1568837185 TARA GAWEL PT, OCS
Individual
Physical Therapist (Orthopedic)3669 SOUTHWESTERN BLVD
ORCHARD PARK, NY 14127
(716) 828-2455
1033435102DR. MICHAEL THOMAS MANGIONE JR. D.O.
Individual
Emergency Medicine3669 SOUTHWESTERN BLVD
ORCHARD PARK, NY 14127
(716) 821-4513
1417593328 DEBORAH JOANNE QUENNELL-KAVCIC BSCPT
Individual
Physical Therapist3669 SOUTHWESTERN BLVD
ORCHARD PARK, NY 14127
(716) 828-2455
1336786631MRS. MICHELLE WILCZEK KNOOP OTR/L,CHT
Individual
Occupational Therapist (Hand)3669 SOUTHWESTERN BLVD
ORCHARD PARK, NY 14127
(716) 828-2455
1699818716SOUTHTOWNS CATHOLIC MRI LLC
Organization
Radiology (Diagnostic Radiology)3669 SOUTHWESTERN BLVD
ORCHARD PARK, NY 14127
(716) 662-8543
1932360773DR. BRADLEY R ERTEL M.D.
Individual
Physical Medicine & Rehabilitation3669 SOUTHWESTERN BLVD
ORCHARD PARK, NY 14127
(716) 828-2330
1528445434 ANTHONY FOX
Individual
Physician Assistant3669 SOUTHWESTERN BLVD
ORCHARD PARK, NY 14127
(716) 662-0500

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033163944, enumerated in the NPI registry as an "individual" on May 22, 2006

The provider is located at 3669 Southwestern Blvd Orchard Park, Ny 14127 and the phone number is (716) 688-2154

The provider's speciality is Emergency Medicine with taxonomy code 207PE0004X with a focus in Emergency Medical Services

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $84.93 with an average copayment of $21.23 for new patient appointments. Established patients should expect a typical charge of $97.08 and an average copayment of 24.27. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on May 22, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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