Yelizaveta Kotlyarova, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

NONE Issued in NY

Practice address

6021 142ND Ave N
Clearwater, FL 33760-2822

Phone

(727) 431-4850

Fax

(727) 669-8417

NPI assigned

Apr 17, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Onsight, Inc.

  • Podiatrist
  • East Lansing, MI
  • NPI 1821248568
  Medicare reassignment
• Transitional Care Services, LLC

  • Gerontology Nurse Practitioner
  • Waterford, MI
  • NPI 1174976807
  Medicare reassignment

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1518520360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 LAKE ELLENOR DR STE 700",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328094643",
            "telephone_number": "407-352-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6021 142ND AVE N",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337602822",
            "telephone_number": "727-431-4850",
            "fax_number": "727-669-8417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5900 Lake Ellenor Dr Ste 700",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328094643",
            "country_code": "US",
            "telephone_number": "407-352-2542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOTLYAROVA",
        "first_name": "YELIZAVETA",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-17",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "NONE",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111564710",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Korthanke
• Edward Dwight Kosakoski, D.M.D
• Carly Grace Kosciolek, AUD
• Henry Jerome Koser, DO
• Aaron Koslin, D.O.
• Jason M Kotun, AA
• Angelique Koutsourais
• Jamie Kovacs
• Colleen Kowalczyk
• Robert John Kowalski, MD

• Foot & Ankle Surgery Podiatrist in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.