Fayez Kotob, M.D., M.B.A.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

4301098964 Issued in MI

Practice address

5050 Villa Linde Pkwy Ste a
Flint, MI 48532-3436

Phone

(810) 230-7400

Fax

(810) 230-7440

NPI assigned

Mar 17, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Pain ManagementAlso: Anesthesiology

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hurley Medical Center Hospital, Flint, MI, CCN 230132

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration, Doctor of Medicine

Practice roles

Locations

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.

• Pain MD, PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Flint, MI
  • NPI 1770971616
  Medicare reassignment NPD Authorized official
• Genesee Medical Anesthesia, PC

  • Anesthesiology Physician
  • Flint, MI
  • NPI 1861579542
  Medicare reassignment NPD
• Mid-Michigan Pain Management Center, PLC

  • Pain Clinic/Center
  • Flint, MI
  • NPI 1548410798
  Medicare reassignment NPD
• Maple Gate Anesthesiologists, P.C.

  • Anesthesiology Physician
  • Cheektowaga, NY
  • NPI 1528072709
  NPD (past)

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

• Hurley Medical Center

  • General Acute Care Hospital
  • Flint, MI
  • NPI 1598717480
  Care Compare affiliation

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

{
    "created_epoch": "1300320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447632000000",
    "number": "1346549219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 846",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484800846",
            "telephone_number": "810-230-7400",
            "fax_number": "810-230-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 VILLA LINDE PKWY STE A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323436",
            "telephone_number": "810-230-7400",
            "fax_number": "810-230-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTOB",
        "first_name": "FAYEZ",
        "name_prefix": "Dr.",
        "credential": "M.D., M.B.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-17",
        "last_updated": "2015-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MI",
            "license": "4301098964",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301098964",
            "primary": false
        },
        {
            "code": "207LH0002X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Hospice and Palliative Medicine",
            "state": "MI",
            "license": "4301098964",
            "primary": false
        },
        {
            "code": "207LA0401X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "MI",
            "license": "4301098964",
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "MI",
            "license": "4301098964",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "MI",
            "license": "4301098964",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alpesh K Korant, MD
• Ryan Curtis Koryciak, M.D., MA, BA, TLLP
• Jennifer Kosakowski
• Virginia Kathryn Kosek
• John Kosinski, HEARING AID SALESPER
• Aubrey Lynn Kovach, PA-C
• David Michael Kowal, DPM
• Whitney Kowalski
• Emily Kate Kozan, LLPC
• Christopher J Kozma, LPTA

• Interventional Pain Medicine Physician in Flint, MI
• Providers in Flint, MI by specialty
• Interventional Pain Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; 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.