Individual provider Active NPI

Ilya Kott, M.D.

  • Emergency Medicine Physician
  • Warren, MI
National Provider Identifier
1285870360
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4301092840 Issued in MI
Practice address
11800 E 12 Mile Rd
Dept. of Emergency Medicine
Warren, MI 48093-3472
Phone
(586) 573-5059
Fax
(586) 573-5119
NPI assigned
Dec 19, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35.132536 OH
Emergency Medicine Physician 207P00000X 4301092840 MI Primary

Addresses

Primary practice location

11800 E 12 Mile Rd
Dept. of Emergency Medicine
Warren, MI 48093-3472

Mailing address

11800 E 12 Mile Rd
Dept. of Emergency Medicine
Warren, MI 48093-3472

Other practice location 1

36555 26 Mile Rd Ste 1100
Lenox, MI 48048-3186
Phone (947) 523-4010

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ekott3158603@epic00.corewelldirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110815000905 MI Practitioner - General PracticePractitioner - Emergency Medicine 1456520162 Reassigns benefits to 4 organizations
I20171214000312 OH Practitioner - Emergency Medicine 1456520162 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Temple University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Emergency Care Services IncGroup PAC ID 9436475795, 64 clinicians
Emergency Professional Services, Inc.Group PAC ID 7214832435, 121 clinicians

Practice addresses (Care Compare)

24777 Greenfield Rd
Suite 201
Southfield, MI 48075-3065
Phone (248) 621-4414

2600 Navarre Ave
Oregon, OH 43616-3207
Phone (419) 696-7411

272 Benedict Ave
Norwalk, OH 44857-2374
Phone (419) 668-8101

Hospital & facility affiliations

  • Mercy Health - Tiffin Hospital Hospital, Tiffin, OH, CCN 360089
  • Mercy St Vincent Medical Center Hospital, Toledo, OH, CCN 360112

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.132536OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Refuah Healthcare Services PLLC Emergency Medicine CurrentSince Jul 9, 2023 Accepting new patients
Beaumont Medical Group Hospital -Based Services CurrentSince Apr 30, 2025 Accepting new patients
Mercy Emergency Care Services, Inc. Emergency Medicine CurrentSince Jun 16, 2018 Accepting new patients
Emergency Department Physicians, P.C. Emergency Medicine CurrentSince Mar 1, 2013 Accepting new patients
Observation Emergency Physicians, P.C. Emergency Medicine CurrentSince Oct 1, 2012 Accepting new patients
Ohio Emergency Professionals Inc Emergency Medicine CurrentSince Nov 1, 2025 Accepting new patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Nov 1, 2017 Accepting new patients
St John Macomb-Oakland Hospital Past Accepting new patients
Yachad Care Center PastSince Jul 9, 2023 Accepting new patients

Locations

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

4100 S River Rd
East China, MI 48054
Phone (810) 329-6677

17717 Masonic
Fraser, MI 48026
Phone (586) 294-0600

36555 26 Mile Rd
Ste 1100
Lenox, MI 48048
Phone (947) 523-4010

27351 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 967-7000

24123 Greenfield Rd
Ste 100
Southfield, MI 48075
Phone (248) 440-6069

24777 Greenfield Rd
Ste 201
Southfield, MI 48075
Phone (248) 644-6272

24777 Greenfield Rd
#201
Southfield, MI 48075
Phone (248) 440-6069

44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255

11800 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5000

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

272 Benedict Ave
Norwalk, OH 44857
Phone (419) 668-1341

2600 Navarre Ave
Oregon, OH 43616
Phone (419) 696-7200

45 St Lawrence Dr
Tiffin, OH 44883
Phone (419) 448-1900

3404 W Sylvania Ave
Toledo, OH 43623
Phone (419) 407-1422

1250 S Washington St
Van Wert, OH 45891
Phone (419) 232-2077

Interoperability endpoints

  • Direct secure messaging: ikott1135127@direct.hfhs.org
  • Direct secure messaging: ekott3158603@epic00.corewelldirect.org

Organizations & group practices 9

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1229644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1285870360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11800 E 12 MILE RD",
            "address_2": "DEPT. OF EMERGENCY MEDICINE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 E 12 MILE RD",
            "address_2": "DEPT. OF EMERGENCY MEDICINE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933472",
            "telephone_number": "586-573-5059",
            "fax_number": "586-573-5119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36555 26 Mile Rd Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Lenox",
            "state": "MI",
            "postal_code": "480483186",
            "country_code": "US",
            "telephone_number": "947-523-4010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOTT",
        "first_name": "ILYA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-19",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.132536",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301092840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ekott3158603@epic00.corewelldirect.org",
            "affiliation": "N",
            "address_1": "36555 26 Mile Rd Ste 1100",
            "city": "Lenox",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480483186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.