Active NPI
Paul Kotzampaltiris, DO
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- Framingham, MA
National Provider Identifier
1083658686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- License
- 208732
- Practice address
- 115 Lincoln Street
Metrowest Medical Center
Framingham, MA 01702 - Phone
- (508) 655-0636
- Fax
- (508) 655-0665
- NPI assigned
- Jun 15, 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 208732 | MA | |
| Pediatric Emergency Medicine (Emergency Medicine) Physician | 207PP0204X | 208732 | MA | Primary |
Addresses
Primary practice location
115 Lincoln Street
Metrowest Medical Center
Framingham, MA 01702
Mailing address
PO Box 449
Natick, MA 01760-0005
Phone (508) 655-0636
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 208732 | MA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physician Associates of Massachusetts PC | Emergency Medicine | Current | Accepting new patients |
| Orthopaedic Surgery Specialist of Montclair, LLC | Past | Accepting new patients | |
| Joseph Peter Fodero MD PA | Past | Accepting new patients |
Locations
115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000
123 Summer St
Worcester, MA 01608
Phone (508) 363-6000
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Worcester, MA
- NPI 1730885252
-
- Plastic Surgery Physician
- Florham Park, NJ
- NPI 1093071276
-
- Orthopaedic Hand Surgery Physician
- Montclair, NJ
- NPI 1437371762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689638400000",
"number": "1083658686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 449",
"city": "NATICK",
"state": "MA",
"postal_code": "017600005",
"telephone_number": "508-655-0636",
"fax_number": "508-655-0665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 LINCOLN STREET",
"address_2": "METROWEST MEDICAL CENTER",
"city": "FRAMINGHAM",
"state": "MA",
"postal_code": "01702",
"telephone_number": "508-655-0636",
"fax_number": "508-655-0665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOTZAMPALTIRIS",
"first_name": "PAUL",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2023-07-18",
"certification_date": "2023-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MA",
"license": "208732",
"primary": false
},
{
"code": "207PP0204X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Pediatric Emergency Medicine",
"state": "MA",
"license": "208732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Framingham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.