Individual provider Active NPI

Patrick A. Hotovy, M.D.

  • Family Medicine Physician
  • York, NE
National Provider Identifier
1346296001
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
18265 Issued in NE
Practice address
2114 N Lincoln Ave
Suite a
York, NE 68467-1028
Phone
(402) 362-5555
Fax
(402) 362-7137
NPI assigned
May 25, 2006
Last updated
Apr 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 18265 NE Primary

Addresses

Primary practice location

2114 N Lincoln Ave
Suite a
York, NE 68467-1028

Mailing address

2114 N Lincoln Ave Ste a
York, NE 68467-1072
Phone (402) 362-5555

Other identifiers 3

IdentifierTypeStateIssuer
18265OtherNESTATE LICENSE NUMBER
263787OtherNEPTAN
47077294513MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20070730000383 NE Practitioner - Family Practice 4587692512 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18265NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
York Quick Clinic CurrentSince Apr 1, 2021 Accepting new patients
Four Corners Health Department CurrentSince Jan 1, 2026 Accepting new patients

Locations

2101 N Lincoln Ave
York, NE 68467
Phone (402) 362-2621

2114 N Lincoln Ave
Ste A
York, NE 68467
Phone (402) 362-5044

309 S 35th St
York, NE 68467
Phone (402) 362-5555

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1346296001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2114 N LINCOLN AVE STE A",
            "city": "YORK",
            "state": "NE",
            "postal_code": "684671072",
            "telephone_number": "402-362-5555",
            "fax_number": "402-362-7137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 N LINCOLN AVE",
            "address_2": "SUITE A",
            "city": "YORK",
            "state": "NE",
            "postal_code": "684671028",
            "telephone_number": "402-362-5555",
            "fax_number": "402-362-7137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOTOVY",
        "first_name": "PATRICK",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "18265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "18265",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "263787",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47077294513",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, NE

Sources for this page

Verify at the official NPI Registry.