Individual provider Active NPI

Ilan Kokotek, DO

  • Family Medicine Physician
  • Lutherville, MD
National Provider Identifier
1285250407
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H0103267 Issued in MD
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

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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, LLCGroup PAC ID 3870661978, 58 clinicians

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

LicenseStateTypeSpecialty
H0103267MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors First, LLC CurrentSince Nov 1, 2025 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

  • Direct secure messaging: ilan.kokotek.1@4332.direct.athenahealth.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.