Leonid Kotkin, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

151270 Issued in MA

Practice address

280 Washington St
Ste. 207
Brighton, MA 02135-3511

Phone

(617) 783-8875

Fax

(617) 782-3367

NPI assigned

Sep 30, 2005

Last updated

Dec 5, 2011By 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 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/86/brand/1/csg/1/fhir/r4

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.

• Mount Auburn Professional Services Inc

  • Internal Medicine Physician
  • Cambridge, MA
  • NPI 1992750996
  Medicare reassignment NPD
• Leonid Kotkin, M.D., P.C.

  • Urology Physician
  • Brighton, MA
  • NPI 1922112762
  Authorized official Same address or phone
• Mt Auburn Professional Services

  dba Belmont Medical Associates

  • Internal Medicine Physician
  • Cambridge, MA
  • NPI 1013375203
  NPD
• Caritas Medical Group, Inc.

  • Specialist
  • Brighton, MA
  • NPI 1174513204
  NPD (past)

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323043200000",
    "number": "1326035825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 MAIN ST",
            "address_2": "SUITE 670",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081604",
            "telephone_number": "508-754-3566",
            "fax_number": "508-438-6368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 WASHINGTON ST",
            "address_2": "STE. 207",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021353511",
            "telephone_number": "617-783-8875",
            "fax_number": "617-782-3367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTKIN",
        "first_name": "LEONID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2011-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MA",
            "license": "151270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3159345",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard M Kondrat, DMD
• Christina S Konstantopoulos, MD
• Susan Korber, APRN-BC
• Constantina Kostka, PA
• Samuel S Kothalanka, M.D.
• Diana Kotseas
• Ioannis Koulouridis, M.D., M.S.
• Stephen O. Kovacs, M.D.
• Randi Kowalczyk
• Sarah Elizabeth Kraft, PMHNP-BC

• Urology Physician in Brighton, MA
• Providers in Brighton, MA by specialty
• Urology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.