Active NPI
Jill S Cottel, MD
- Internal Medicine Physician
- Yorktown, VA
National Provider Identifier
1083682272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101263759
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A65247 | Other | CA | STATE 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 65247 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Live Life Now Health Group PA | Multi-Specialty | Current | 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.
-
- Addiction Medicine (Family Medicine) Physician
- Yonkers, NY
- NPI 1770111429
Multi-Specialty, VA
-
- Non-Pharmacy Dispensing Site
- Poway, CA
- NPI 1750521241
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; 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.