Individual provider Active NPI

Jill S Cottel, MD

  • Internal Medicine Physician
  • Yorktown, VA
National Provider Identifier
1083682272
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101263759 Issued in VA
Practice address
1620 Old Williamsburg Rd
Yorktown, VA 23690-3910
Phone
(757) 886-0608
NPI assigned
Mar 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 0101263759 VA Primary

Addresses

Primary practice location

1620 Old Williamsburg Rd
Yorktown, VA 23690-3910

Mailing address

113 Chisman LNDG
Seaford, VA 23696-2345
Phone (858) 361-1467

Other identifiers 1

IdentifierTypeStateIssuer
A65247OtherCASTATE LIC.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210922002109 VA Practitioner - Internal Medicine 4486684305 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
65247CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Live Life Now Health Group PA Multi-Specialty CurrentSince Aug 1, 2021 Accepting new patients
Jill Cottel MD, in. Past Accepting new patients

Locations

350 7th Ave
Rm 404
New York, NY 10001

350 7th Ave
Rm 600
New York, NY 10001

3900 Westerre Pkwy
Ste 300
Richmond, VA 23233
Phone (301) 928-5012

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1083682272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 CHISMAN LNDG",
            "city": "SEAFORD",
            "state": "VA",
            "postal_code": "236962345",
            "telephone_number": "858-361-1467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 OLD WILLIAMSBURG RD",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236903910",
            "telephone_number": "757-886-0608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTEL",
        "first_name": "JILL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101263759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LIC.",
            "identifier": "A65247",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown, VA

Sources for this page

Verify at the official NPI Registry.