Active NPI
Ilan Kokotek, DO
- Family Medicine Physician
- Lutherville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- H0103267
- Practice address
- 1205 York Rd Ste 38
Lutherville, MD 21093-6211 - Phone
- (301) 515-2901
- NPI assigned
- Jun 23, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | H0103267 | MD | Primary |
Addresses
Primary practice location
1205 York Rd Ste 38
Lutherville, MD 21093-6211
Mailing address
1205 York Rd Ste 38
Lutherville, MD 21093-6211
Phone (301) 515-2901
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- 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 |
|---|---|---|---|---|
| I20251118000955 | MD | Practitioner - Family Practice | 0840723177 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Rowan University School of Osteopathic Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Doctors First, LLC
Practice addresses (Care Compare)
1205 York Rd
Lutherville, MD 21093-6211
Phone (301) 327-0266
8600 Snowden River Pkwy
Suite 207
Columbia, MD 21045-1985
Phone (301) 515-2901
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H0103267 | MD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctors First, LLC | Current | Accepting new patients | |
| Doctors First, LLC | Past | Accepting new patients |
Locations
8600 Snowden River Pkwy
Ste 207
Columbia, MD 21045
Phone (301) 595-2901
1205 York Rd
Ste 38
Lutherville, MD 21093
Phone (301) 327-0266
Interoperability endpoints
- ilan.kokotek.1@4332.direct.athenahealth.com
- ilan.kokotek.1@23840.direct.athenahealth.com
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.
-
- Internal Medicine Physician
- Germantown, MD
- NPI 1912160458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760572800000",
"number": "1285250407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 YORK RD STE 38",
"city": "LUTHERVILLE",
"state": "MD",
"postal_code": "210936211",
"telephone_number": "301-515-2901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 YORK RD STE 38",
"city": "LUTHERVILLE",
"state": "MD",
"postal_code": "210936211",
"telephone_number": "301-515-2901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOKOTEK",
"first_name": "ILAN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-23",
"last_updated": "2025-10-16",
"certification_date": "2025-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "H0103267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lutherville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; 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.