ANIA I KOWALIK MD
NPI 1659331403
Obstetrics & Gynecology - Reproductive Endocrinology in Dedham, MA
NPI Status: Active since March 24, 2006
Contact Information
45 STERGIS WAY
DEDHAM, MA
ZIP 02026
Phone: (781) 326-2451
Fax: (781) 329-2684
- Individual
- Female
- Years of Experience 35
- Obstetrics & Gynecology
- Reproductive Endocrinology
- Accepts Insurance
- May Accept Medicare Approved Payment
- PECOS Enrolled
About ANIA KOWALIK
This page provides the complete NPI Profile along with additional information for Ania Kowalik, a women's health care provider established in Dedham, Massachusetts with a medical specialization in Obstetrics & Gynecology, focusing in reproductive endocrinology and more than 35 years of experience. She graduated from State University Of New York At Stony Brook, School Of Medicine in 1991. The healthcare provider is registered in the NPI registry with number 1659331403 assigned on March 2006. The practitioner's primary taxonomy code is 207VE0102X with license number 227012 (MA). The provider is registered as an individual and her NPI record was last updated 7 years ago.
- NPI
- 1659331403
- Provider Name
- ANIA I KOWALIK MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 45 STERGIS WAY DEDHAM, MA 02026
- Location Phone
- (781) 326-2451
- Location Fax
- (781) 329-2684
- Mailing Address
- 45 STERGIS WAY DEDHAM, MA 02026
- Mailing Phone
- (781) 326-2451
- Mailing Fax
- (781) 329-2684
- Medical School Name
- STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
- Graduation Year
- 1991
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-24-2006
- Last Update Date
- 05-09-2018
- Code Navigator
Women's health care providers like Ania Kowalik treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.
Location Map
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
Obstetrics & Gynecology Reproductive Endocrinology
- Taxonomy Code
- 207VE0102X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 227012
- License State
- MA
- Taxonomy Description
- An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
- NH Local Choice HMO Bronze 8000 - HMO
- NH Local Choice HMO Gold - HMO
- NH Local Choice HMO Gold 1400 - HMO
- NH Local Choice HMO HSA Bronze 6000 - HMO
- NH Local Choice HMO Silver 3500 - HMO
- NH Local Choice HMO Silver 5000 - HMO
- NH Local HMO Bronze 7500 Standard - HMO
- NH Local HMO Gold 1500 Standard - HMO
- NH Local HMO Silver 5000 Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Ania Kowalik is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
Ania Kowalik 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
PECOS PAC ID: 7315991411
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20250422002163
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.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 02026 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $144.11
- Minimum New Patient Price $63.72
- Maximum New Patient Price $189.86
- Average New Patient Copayment $36.02
- Minimum New Patient Copayment $15.93
- Maximum New Patient Copayment $47.46
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $111.18
- Minimum Established Patient Price $21.07
- Maximum Established Patient Price $155.29
- Average Established Patient Copayment $27.79
- Minimum Established Patient Copayment $5.26
- Maximum Established Patient Copayment $38.82
* 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.
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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. | |||||||||
| 1 | 6 | 5 | 9 | 3 | 3 | 1 | 4 | 0 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 10 | 9 | 6 | 3 | 2 | 4 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 0 + 9 + 6 + 3 + 2 + 4 + 0 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1659331403 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1104139948 | FERTILITY SOLUTIONS Organization | Clinic/Center (Ambulatory Fertility Facility) | 45 STERGIS WAY DEDHAM, MA 02026 (781) 326-2451 |
| 1063729051 | MASSACHUSETTS FERTILITY CENTER Organization | Clinical Medical Laboratory | 45 STERGIS WAY DEDHAM, MA 02026 (877) 813-0159 |
| 1720398381 | FERTILITY SOLUTIONS, P.C. Organization | Clinic/Center (Radiology) | 45 STERGIS WAY DEDHAM, MA 02026 (877) 813-0159 |
| 1841500485 | FERTILITY SOLUTIONS, P.C. Organization | Clinical Medical Laboratory | 45 STERGIS WAY DEDHAM, MA 02026 (877) 813-0159 |
| 1184922841 | FERTILITY SOLUTIONS, P.C. Organization | Clinic/Center (Ambulatory Fertility Facility) | 45 STERGIS WAY DEDHAM, MA 02026 (781) 326-2451 |
| 1245227206 | DR. PEI-LI HUANG M.D. Individual | Obstetrics & Gynecology (Reproductive Endocrinology) | 45 STERGIS WAY DEDHAM, MA 02026 (781) 326-2451 |
| 1124015029 | DR. CAROL ANANIA M.D. Individual | Obstetrics & Gynecology (Reproductive Endocrinology) | 45 STERGIS WAY DEDHAM, MA 02026 (781) 326-2451 |
| 1023617701 | FERTILITY SOLUTIONS, P.C. Organization | Obstetrics & Gynecology (Reproductive Endocrinology) | 45 STERGIS WAY DEDHAM, MA 02026 (781) 326-2451 |
| 1508660325 | TERRA FERTILITY PLLC Organization | Obstetrics & Gynecology (Reproductive Endocrinology) | 45 STERGIS WAY DEDHAM, MA 02026 (305) 495-7446 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1659331403, enumerated in the NPI registry as an "individual" on March 24, 2006
The provider is located at 45 Stergis Way Dedham, Ma 02026 and the phone number is (781) 326-2451
The provider's speciality is Obstetrics & Gynecology with taxonomy code 207VE0102X with a focus in Reproductive Endocrinology
The provider has more than 35 years of experience. She graduated from State University Of New York At Stony Brook, School Of Medicine in 1991.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield and Harvard. 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 $144.11 with an average copayment of $36.02 for new patient appointments. Established patients should expect a typical charge of $111.18 and an average copayment of 27.79. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on March 24, 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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