Jennifer J. Kottra, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

036139297 Issued in IL

Practice address

1820 W Stevanna Way
Flagstaff, AZ 86001-1159

Phone

(928) 699-6853

NPI assigned

May 23, 2006

Last updated

Sep 7, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ, MI, WV, UT, KY, IL6 enrollments

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 6

Specialty

Diagnostic Radiology

Education

Duke University School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Appalachian Mountains Medical LLCGroup PAC ID 6709016264, 43 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

95.19 of 100Reported as apm

Quality

83.05

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

94.29 of 100Reported as apm

Quality

87.32

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Appalachian Mountains Medical, LLC

  • Emergency Medicine Physician
  • Welch, WV
  • NPI 1881023117

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Baptist Health Medical Group Inc

  • Nurse Practitioner
  • Lexington, KY
  • NPI 1518360296
  Medicare reassignment Care Compare group NPD
• Northern Arizona Radiology P C

  • Diagnostic Radiology Physician
  • Flagstaff, AZ
  • NPI 1275588659
  Medicare reassignment NPD
• Sheridan Community Hospital

  • Emergency Medicine Physician
  • Sheridan, MI
  • NPI 1528090594
  Medicare reassignment NPD
• The Bellevue Hospital

  • General Acute Care Hospital
  • Bellevue, OH
  • NPI 1134161623

  AZ

  Medicare reassignment NPD
• Uintah Basin Medical Center

  • General Acute Care Hospital
  • Roosevelt, UT
  • NPI 1871556217
  Medicare reassignment NPD
• X-Ray Professional Association

  • Diagnostic Radiology Physician
  • Concord, NH
  • NPI 1790758449

  AZ

  Medicare reassignment
• Baptist Health Medical Group Inc

  dba Dawson Springs Rural Health Clinic

  • Rural Health Clinic/Center
  • Dawson Springs, KY
  • NPI 1982178216
  NPD
• Princeton Community Hospital Assn Inc.

  dba Mercer Medical Group

  • Urology Physician
  • Princeton, WV
  • NPI 1093917643
  NPD
• Princeton Community Hospital Assn., Inc

  dba Bluefield Internal Medicine

  • Rural Health Clinic/Center
  • Bluefield, VA
  • NPI 1235446485
  NPD
• Sheridan Community Hospital

  dba SCH Clinics

  • Family Medicine Physician
  • Sheridan, MI
  • NPI 1740345958
  NPD
• Uintah Basin Medical Center

  dba Uintah Basin Healthcare Vernal Pharmacy

  • Community/Retail Pharmacy
  • Vernal, UT
  • NPI 1285420414
  NPD

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788739200000",
    "number": "1477508935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6830 E IRONWOOD DR",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852532655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 W STEVANNA WAY",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011159",
            "telephone_number": "928-699-6853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTTRA",
        "first_name": "JENNIFER",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "28102",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036139297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristi Beth Kolek, PA
• William Joseph Kolodinsky Jr., PHD, AZ LPC
• Alexander A Kon, MD
• Christopher Joseph Konradi, PHARM.D.
• Lexi Taylor Kortsen, OD
• Scott Lawrence Krankkala, PA-C
• Robert Krar
• Lindsay Kresch, LAC-20471
• Abagail Rosette Krick, FNP-C
• Krietsch & Daiss PC

• Diagnostic Radiology Physician in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Diagnostic Radiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; 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.