Active NPI
Ilya Kott, M.D.
- Emergency Medicine Physician
- Warren, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 4301092840
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ekott3158603@epic00.corewelldirect.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- Mercy St Vincent Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.132536 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Refuah Healthcare Services PLLC | Emergency Medicine | Current | Accepting new patients |
| Beaumont Medical Group Hospital -Based Services | Current | Accepting new patients | |
| Mercy Emergency Care Services, Inc. | Emergency Medicine | Current | Accepting new patients |
| Emergency Department Physicians, P.C. | Emergency Medicine | Current | Accepting new patients |
| Observation Emergency Physicians, P.C. | Emergency Medicine | Current | Accepting new patients |
| Ohio Emergency Professionals Inc | Emergency Medicine | Current | Accepting new patients |
| Emergency Professional Services, Inc. | Emergency Medicine | Current | Accepting new patients |
| St John Macomb-Oakland Hospital | Past | Accepting new patients | |
| Yachad Care Center | Past | 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
- ikott1135127@direct.hfhs.org
- 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.
-
- Emergency Medicine Physician
- Southfield, MI
- NPI 1023717493
-
- Emergency Medicine Physician
- Seaman, OH
- NPI 1093762353
-
- Emergency Medicine Physician
- Toledo, OH
- NPI 1477957819
-
- Hospitalist Physician
- Royal Oak, MI
- NPI 1427567858
-
- Emergency Medicine Physician
- Detroit, MI
- NPI 1225083595
-
- Emergency Medicine Physician
- Detroit, MI
- NPI 1497920524
-
- Emergency Medicine Physician
- Columbus, OH
- NPI 1982983425
-
- Emergency Medical Services (Emergency Medicine) Physician
- Warren, MI
- NPI 1902817620
-
- Family Medicine Physician
- Southfield, MI
- NPI 1356287221
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1467493551
-
- General Acute Care Hospital
- Tiffin, OH
- NPI 1316994734
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.