Alexander Kotlarevsky, MD

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

2008-01620 Issued in NC

Practice address

500 Jefferson St
Whiteville, NC 28472-3634

Phone

(910) 642-1776

NPI assigned

Sep 8, 2008

Last updated

Jul 15, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in NC

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

HospitalistAlso: Family Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Columbus Regional Health NetworkGroup PAC ID 6608924931, 48 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Columbus Regional Healthcare System Hospital, Whiteville, NC, CCN 340068
• Novant Health New Hanover Regional Medical Center Hospital, Wilmington, NC, CCN 340141

Merit-based Incentive Payment System (MIPS)

Final score

94 of 100Reported as apm

Quality

81.63

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: akotlarevsky@crhn.cernerdirect.com
• Direct secure messaging: crhs@crhn.cernerdirect.com

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.

• Columbus Regional Health Network

  dba Advanced Family Care

  • Hospitalist Physician
  • Whiteville, NC
  • NPI 1508001009
  Medicare reassignment Care Compare group NPD
• Columbus Regional Health Network

  dba Advanced Orthopedics

  • Orthopaedic Surgery Physician
  • Whiteville, NC
  • NPI 1790224962
  NPD
• Columbus Regional Health Network

  dba Advanced Primary Care

  • Family Medicine Physician
  • Whiteville, NC
  • NPI 1518263268
  NPD (past)
• Columbus Regional Health Network

  dba South Columbus Medical Center

  • Family Medicine Physician
  • Tabor City, NC
  • NPI 1629318886
  NPD (past)

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

• Columbus Regional Healthcare System

  dba South Columbus Medical Clinic

  • General Acute Care Hospital
  • Whiteville, NC
  • NPI 1376537555
  Care Compare affiliation
• Novant Health New Hanover Regional Medical Center LLC

  dba Novant Health New Hanover Regional Medical Center

  • General Acute Care Hospital
  • Wilmington, NC
  • NPI 1376139139
  Care Compare affiliation

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1295983898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282199305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 JEFFERSON ST",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284723634",
            "telephone_number": "910-642-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTLAREVSKY",
        "first_name": "ALEXANDER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-08",
        "last_updated": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2008-01620",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NC",
            "license": "2008-01620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "crhs@crhn.cernerdirect.com",
            "affiliation": "Y",
            "affiliationName": "Columbus Regional Healthcare System, Inc.",
            "address_1": "500 Jefferson St",
            "city": "Whiteville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284723634",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cythia Moseley Kirby
• Thomas R. Kirby, OD
• Arfana Ahmed Kishan
• Anna Turbeville Klara, OTR/L
• Samuel G Koonce Jr., D.D.S.
• Andrew Peter Kovacs, MD
• Christian Horton Lane, RTR,RCS
• Clifton Lavenhouse
• Brent C Lawson, DDS
• Zackary Dylan Lawson

• Hospitalist Physician in Whiteville, NC
• Providers in Whiteville, NC by specialty
• Hospitalist Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.