Individual provider

Ryan Kovacik

Student in an Organized Health Care Education/Training Program Medicare enrolled

Ryan Kovacik is a provider specialising in Student in an Organized Health Care Education/Training Program in Wynnewood, PA, registered under NPI 1104576495.

Getting there

The practice address on file is 100 E LANCASTER AVE, Wynnewood, PA 19096. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

100 E LANCASTER AVE, Wynnewood, PA 19096 Open in Google Maps →

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)
Status
Approved
Provider type
Order And Referring Only - Internal Medicine
PAC ID
0547640666

Enrolled in Medicare 2 times, across 2 states:

StateEnrollment IDProvider type
Pennsylvania I20220707001836 Order And Referring Only - Internal Medicine
Delaware I20250516000193 Order And Referring Only - Cardiovascular Disease (cardiology)

Medicare enrolment is recorded as approved under the provider type Order And Referring Only - Internal Medicine. There are 2 separate enrolment records across 2 states (PA, DE). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Student in an Organized Health Care Education/Training Program covers

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. NUCC Health Care Provider Taxonomy, code 390200000X
Student, Health Care Student in an Organized Health Care Education/Training Program

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1104576495 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMar 28, 2022
Last updatedMar 28, 2022
StatusActive
Sole proprietorNo
Practice address 100 E LANCASTER AVE
Wynnewood, PA 19096
(484) 476-6840
Mailing address 211 DAWSON ST
Philadelphia, PA 19128
The last update on file is Mar 28, 2022. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1104576495 passes the NPI check digit test The final digit 5 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 5 7 6 4 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 1 7 3 4 9

Sum = 55 · next multiple of 10 = 60 · check digit = 5 · actual last digit = 5

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104576495?
NPI 1104576495 is the National Provider Identifier assigned to Ryan Kovacik in Wynnewood, PA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Student in an Organized Health Care Education/Training Program cover?
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
How do I contact Ryan Kovacik?
The phone number on file with NPPES is (484) 476-6840, last updated Mar 28, 2022. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Ryan Kovacik accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1104576495 a valid number?
Yes. 1104576495 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.