Active NPI
Patrick P Koty, PHD
- Ph.D. Medical Genetics
- Winston-Salem, NC
National Provider Identifier
1487793204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ph.D. Medical Genetics
- Practice address
- Medical Center Blvd
Winston-Salem, NC 27157-0001 - Phone
- (336) 716-2255
- NPI assigned
- Feb 6, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ph.D. Medical Genetics | 170100000X | Primary | ||
| Clinical Cytogenetics Physician | 207SC0300X | 99079 | NC | |
| Clinical Molecular Genetics Physician | 207SG0203X | 2002055 | NC |
Addresses
Primary practice location
Medical Center Blvd
Winston-Salem, NC 27157-0001
Mailing address
PO Box 344
Winston Salem, NC 27102-0344
Phone (336) 716-2255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 99079 | NC | MD | Clinical Cytogenetics Physician |
| 2002055 | NC | MD | Clinical Molecular Genetics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1487793204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 344",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271020344",
"telephone_number": "336-716-2255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MEDICAL CENTER BLVD",
"city": "WINSTON-SALEM",
"state": "NC",
"postal_code": "271570001",
"telephone_number": "336-716-2255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOTY",
"first_name": "PATRICK",
"middle_name": "P",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-06",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "170100000X",
"taxonomy_group": "",
"desc": "Medical Genetics, Ph.D. Medical Genetics",
"state": null,
"license": null,
"primary": true
},
{
"code": "207SC0300X",
"taxonomy_group": "",
"desc": "Medical Genetics, Clinical Cytogenetics",
"state": "NC",
"license": "99079",
"primary": false
},
{
"code": "207SG0203X",
"taxonomy_group": "",
"desc": "Medical Genetics, Clinical Molecular Genetics",
"state": "NC",
"license": "2002055",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winston-Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.