NPIMap

Individual provider Active NPI

Andrew Harry Kotsis, D.O.

  • Family Medicine Physician
  • Detroit, MI
National Provider Identifier
1346428802
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101017496 Issued in MI
Practice address
500 Renaissance Ctr
Suite R560
Detroit, MI 48243-1929
Phone
(313) 473-3800
Fax
(313) 396-5201
NPI assigned
Feb 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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 5101017496 MI Primary

Addresses

Primary practice location

500 Renaissance Ctr
Suite R560
Detroit, MI 48243-1929

Mailing address

500 Renaissance Ctr
Suite R560
Detroit, MI 48243-1929
Phone (313) 473-3800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address akotsis81684@direct.beaumont.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100312000473 MI Practitioner - Family Practice 4082749270 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oakwood Ambulatory LLCGroup PAC ID 1850282914, 271 clinicians

Practice addresses (Care Compare)

17000 Kercheval Ave
Suite 205
Grosse Pointe, MI 48230-1570
Phone (313) 640-2424

201 3Rd St
Suite 200
Belleville, MI 48111-2605
Phone (734) 697-9065

Hospital & facility affiliations

  • Beaumont Home Health Home health agency, Troy, MI, CCN 237112
  • John Paul Home Health Care Home health agency, Bingham Farms, MI, CCN 237659
  • Beaumont Hospital - Grosse Pointe Hospital, Grosse Pointe, MI, CCN 230089
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269
  • Beaumont Hospital - Farmington Hills Hospital, Farmington Hills, MI, CCN 230151
  • Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101017496MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oakwood Ambulatory, LLC CurrentSince Dec 14, 2017 Accepting new patients
William Beaumont Hospital Current Accepting new patients
Oakwood Ambulatory LLC Family Medicine CurrentSince Dec 14, 2017 Accepting new patients
William Beaumont Hospital CurrentSince Nov 17, 2014 Accepting new patients
William Beaumont Hospital Family Medicine CurrentSince Nov 17, 2014 Accepting new patients
William Beaumont Hospital Past Accepting new patients

Locations

201 3rd St
Ste 200
Belleville, MI 48111
Phone (734) 697-9065

500 Renaissance Ctr
Ste R560
Detroit, MI 48243
Phone (313) 473-3800

17000 Kercheval Ave
Ste 205
Grosse Pointe, MI 48230
Phone (313) 640-2424

15959 Hall Rd
Ste 104
Macomb, MI 48044
Phone (586) 884-2688

30503 Greenfield Rd
Southfield, MI 48076
Phone (248) 691-4732

43455 Schoenherr Rd
Sterling Hts, MI 48313
Phone (248) 373-7600

Interoperability endpoints

  • Direct secure messaging: akotsis81684@direct.beaumont.edu

Organizations & group practices 6

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.

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1346428802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 RENAISSANCE CTR",
            "address_2": "SUITE R560",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482431929",
            "telephone_number": "313-473-3800",
            "fax_number": "313-396-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 RENAISSANCE CTR",
            "address_2": "SUITE R560",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482431929",
            "telephone_number": "313-473-3800",
            "fax_number": "313-396-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTSIS",
        "first_name": "ANDREW",
        "middle_name": "HARRY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-07",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101017496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akotsis81684@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "500 Renaissance Ctr",
            "address_2": "Suite R560",
            "city": "Detroit",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482431929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.