Individual provider Active NPI

Philip S. Kotsios, M.D.

  • Internal Medicine Physician
  • Lowell, MA
National Provider Identifier
1306801493
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
48627 Issued in MA
Practice address
817 Merrimack St
Lowell, MA 01854-3571
Phone
(978) 937-0500
Fax
(978) 937-1254
NPI assigned
Apr 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 48627 MA Primary

Addresses

Primary practice location

817 Merrimack St
Lowell, MA 01854-3571

Mailing address

817 Merrimack St
Lowell, MA 01854-3571
Phone (978) 937-0500

Other identifiers 1

IdentifierTypeStateIssuer
0143448MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050922000511 MA Practitioner - Internal Medicine 6709810443 Practice locations: Lowell, MA

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1306801493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 MERRIMACK ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018543571",
            "telephone_number": "978-937-0500",
            "fax_number": "978-937-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 MERRIMACK ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018543571",
            "telephone_number": "978-937-0500",
            "fax_number": "978-937-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTSIOS",
        "first_name": "PHILIP",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "48627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0143448",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

Verify at the official NPI Registry.