Barry Michael Kotler, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME82765 Issued in FL

Practice address

67 Lake Eden Drive
Boynton Beach, FL 33435-8666

Phone

(561) 742-3244

Fax

(561) 742-3245

NPI assigned

May 3, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Family Practice

Education

Jefferson Medical College of Thomas Jefferson University, 1961

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Miami Lakes Medical Center, LLCGroup PAC ID 9436469897, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Professional Home Services, Inc. Home health agency, Miami Lakes, FL, CCN 107793

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Miami Lakes Medical Center, LLC

  • Medical Physician Assistant
  • Miami Lakes, FL
  • NPI 1740687821
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Professional Home Services, Inc.

  • Home Health Agency
  • Miami Lakes, FL
  • NPI 1073690491
  Care Compare affiliation

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418947200000",
    "number": "1174745731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 LAKE EDEN DRIVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334358666",
            "telephone_number": "561-742-3244",
            "fax_number": "561-742-3245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 LAKE EDEN DRIVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334358666",
            "telephone_number": "561-742-3244",
            "fax_number": "561-742-3245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTLER",
        "first_name": "BARRY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2014-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME82765",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME82765",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Kordbacheh
• Sara Chaya Korman, AU.D.
• Genevieve Kornblum, PA-C
• Gabriella R Kortz, APRN
• Abigail R Koslow, M.S.,CCC-SLP
• Jessica M Kotlyarov, M.D.
• Angelos Koutsonikolis
• Christopher Kowalczyk, DO
• Janet Kowalski, A.R.N.P.
• Michelle Lee Krabs, PT

• Family Medicine Physician in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.

Verify at the official NPI Registry.