Active NPI
Rudolf J Kotula, MD
- Infectious Disease Physician
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 21269
- Practice address
- 10060 Regency Cir
Omaha, NE 68114-3732 - Phone
- (402) 354-1530
- Fax
- (402) 354-1535
- NPI assigned
- Apr 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 43587 | CO | |
| Infectious Disease Physician | 207RI0200X | 21269 | NE | Primary |
Addresses
Primary practice location
10060 Regency Cir
Omaha, NE 68114-3732
Mailing address
PO Box 3755
Omaha, NE 68103-0755
Phone (402) 354-2100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063477834 | Medicaid | IA | |
| 47068731742 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10060 Regency Cir
Omaha, NE 68114-3732
Phone (402) 354-1570
933 E Pierce St
Methodist Jennie Edmundson
Council Bluffs, IA 51503-4626
Phone (712) 396-6000
Hospital & facility affiliations
- The Nebraska Methodist Hospital
- Methodist Jennie Edmundson
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21269 | NE | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nebraska Methodist Hospital | Current | Accepting new patients | |
| Physicians Clinic Inc | Infectious Disease | Current | Accepting new patients |
| Internal Medicine Associates of Lee County MD PA | Past | Accepting new patients | |
| Colorado Infectious Disease Associates, LLP | Infectious Disease | Past | Accepting new patients |
| Infectious Diseases Associates PC | Infectious Disease | Past | Accepting new patients |
Locations
1 Edmundson Pl
Ste 310
Council Bluffs, IA 51503
Phone (712) 328-1801
1 Edmundson Pl
Council Bluffs, IA 51503
Phone (712) 396-4000
933 E Pierce St
Council Bluffs, IA 51503
Phone (712) 328-6000
16120 W Dodge Rd
Omaha, NE 68118
Phone (402) 354-0550
10060 Regency Cir
Omaha, NE 68114
Phone (402) 354-1405
8901 W Dodge Rd
Omaha, NE 68114
Phone (402) 354-8600
5908 S 142nd St
Omaha, NE 68137
Phone (402) 354-1900
825 S 169th St
Fl 3
Omaha, NE 68118
Phone (402) 354-5451
8601 W Dodge Rd
Ste 216
Omaha, NE 68114
Phone (402) 354-4822
Interoperability endpoints
- https://api.platform.athenahealth.com/15913/brand/10/csg/1/fhir/r4
- rudolf.kotula@direct.nmhs.org
- https://fhir-myrecord.cerner.com/r4/49ec4064-7609-4f62-b5e6-20a05e00549b/
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1427147883
-
- Infectious Disease Physician
- Omaha, NE
- NPI 1164448510
-
- Infectious Disease Physician
- Denver, CO
- NPI 1124023981
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1972565919
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1427147883
-
- General Acute Care Hospital
- Council Bluffs, IA
- NPI 1457448755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388707200000",
"number": "1063477834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3755",
"city": "OMAHA",
"state": "NE",
"postal_code": "681030755",
"telephone_number": "402-354-2100",
"fax_number": "402-354-2155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10060 REGENCY CIR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681143732",
"telephone_number": "402-354-1530",
"fax_number": "402-354-1535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOTULA",
"first_name": "RUDOLF",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-17",
"last_updated": "2014-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CO",
"license": "43587",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "NE",
"license": "21269",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1063477834",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47068731742",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.