Individual provider Active NPI

Adam J Kotkiewicz, D.O.

  • Hematology & Oncology Physician
  • Palm Springs, FL
National Provider Identifier
1356491179
Registry record updated Sep 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
OS17394 Issued in FL
Practice address
1630 S Congress Ave Ste 200
Palm Springs, FL 33461-2171
Phone
(561) 253-3980
Fax
(561) 253-3985
NPI assigned
Jan 12, 2007
Last updated
Sep 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X OS013866 PA
Internal Medicine Physician 207R00000X OS013866 PA
Hematology & Oncology Physician 207RH0003X OS013866 PA
Hematology & Oncology Physician 207RH0003X OS17394 FL Primary

Addresses

Primary practice location

1630 S Congress Ave Ste 200
Palm Springs, FL 33461-2171

Mailing address

PO Box 160748
Altamonte Springs, FL 32716-0748
Phone (561) 253-3980

Other practice location 1

11621 Kew Gardens Ave Ste 101A
Palm Beach Gardens, FL 33410-2853
Phone (561) 253-3980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20211209000945 FL Practitioner - Hematology/Oncology 1052509783 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Philadelphia College of Osteopathic Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tampa General Medical Group IncGroup PAC ID 7416253828, 353 clinicians

Practice addresses (Care Compare)

3140 S Falkenburg Rd
Riverview, FL 33578-2574
Phone (813) 660-7150

3140 S Falkenburg Rd
301 TGH Cancer Institute at Riverview
Riverview, FL 33578-2594
Phone (561) 253-3980

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.26 of 100Reported as apm
Quality
80.2
Promoting interoperability
99.24
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS17394FLMDHematology & Oncology Physician
OS013866PAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Medical Group Inc Medical Oncology Current Accepting new patients
Jupiter Medical Center Physicians Group Inc CurrentSince Oct 25, 2021 Accepting new patients
Tampa General Hospital Current Accepting new patients
Tampa General Medical Group Inc CurrentSince Apr 1, 2025 Accepting new patients
Cancer Center of South Florida PLLC CurrentSince Apr 1, 2025 Accepting new patients
Jupiter Medical Center Physicians Group Inc Internal Medicine Current Accepting new patients
Tampa General Medical Group Inc Medical Oncology CurrentSince Apr 1, 2025 Accepting new patients
Cancer Center of South Florida PLLC Hematology & Oncology CurrentSince Apr 1, 2025 Accepting new patients
Jupiter Medical Center Physicians Group CurrentSince Oct 25, 2021 Accepting new patients

Locations

214 Morrison Rd
Ste 110
Brandon, FL 33511
Phone (800) 844-9302

1002 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 741-5695

11621 Kew Gardens Ave
Ste 101A
Palm Beach Gardens, FL 33410
Phone (561) 832-1234

1630 S Congress Ave
Ste 200
Palm Springs, FL 33461
Phone (561) 621-0012

3140 S Falkenburg Rd
Riverview, FL 33578
Phone (813) 578-2844

3140 S Falkenburg Rd
Ste 301
Riverview, FL 33578
Phone (813) 844-4600

2 Tampa General Cir
Fl 3
Tampa, FL 33606
Phone (813) 259-0600

1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: akotkiewicz336848@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 9

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759017600000",
    "number": "1356491179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160748",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327160748",
            "telephone_number": "561-253-3980",
            "fax_number": "561-253-3985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 S CONGRESS AVE STE 200",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334612171",
            "telephone_number": "561-253-3980",
            "fax_number": "561-253-3985"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11621 Kew Gardens Ave Ste 101A",
            "address_purpose": "LOCATION",
            "city": "Palm Beach Gardens",
            "state": "FL",
            "postal_code": "334102853",
            "country_code": "US",
            "telephone_number": "561-253-3980",
            "fax_number": "561-253-3985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOTKIEWICZ",
        "first_name": "ADAM",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2025-09-28",
        "certification_date": "2025-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "PA",
            "license": "OS013866",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS013866",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PA",
            "license": "OS013866",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "OS17394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, FL

Sources for this page

Verify at the official NPI Registry.