Active NPI
Alexandra Eileen Kotlinski
- Family Nurse Practitioner
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R234006
- Practice address
- 5601 Loch Raven Blvd Ste 3N
Baltimore, MD 21239-2945 - Phone
- (443) 444-3775
- Fax
- (443) 444-4678
- NPI assigned
- May 24, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R234006 | MD | Primary |
Addresses
Primary practice location
5601 Loch Raven Blvd Ste 3N
Baltimore, MD 21239-2945
Mailing address
5601 Loch Raven Blvd FL 3
Baltimore, MD 21239-2945
Phone (443) 444-3775
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2309 Bel Air Rd C
Fallston, MD 21047-2752
Phone (443) 981-3130
5601 Lloch Raven Blvd
Baltimore, MD 21239-2945
Phone (443) 444-3775
5601 Loch Raven Blvd
3 North
Baltimore, MD 21239-2945
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.32 of 100
- Quality
- 68.93
- Improvement activities
- 40
- Cost
- 74.47
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R234006 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nephrology Center of Maryland, PA | Current | Accepting new patients |
Locations
5601 Loch Raven Blvd
#3N
Baltimore, MD 21239
Phone (410) 532-3775
5601 Loch Raven Blvd
Fl 3
Northwood, MD 21239
Phone (410) 532-3775
Interoperability endpoints
- https://api.platform.athenahealth.com/7494/brand/1/csg/1/fhir/r4
- alexandra.kotlinski.1@7494.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Nephrology Physician
- Baltimore, MD
- NPI 1518932862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692835200000",
"number": "1407548605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5601 LOCH RAVEN BLVD FL 3",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212392945",
"telephone_number": "443-444-3775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5601 LOCH RAVEN BLVD STE 3N",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212392945",
"telephone_number": "443-444-3775",
"fax_number": "443-444-4678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOTLINSKI",
"first_name": "ALEXANDRA",
"middle_name": "EILEEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-24",
"last_updated": "2023-08-24",
"certification_date": "2023-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R234006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.