Active NPI
Howard Shane Kotler, M.D.
- Otolaryngology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 036082174
- Practice address
- 843 W Adams St Apt 509
Chicago, IL 60607-3000 - Phone
- (312) 622-3500
- NPI assigned
- Jun 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 036082174 | IL | Primary |
Addresses
Primary practice location
843 W Adams St Apt 509
Chicago, IL 60607-3000
Mailing address
843 W Adams St Apt 509
Chicago, IL 60607-3000
Phone (312) 622-3500
Other practice location 1
625 Pole Line Rd W Ste 2B
Twin Falls, ID 83301-4270
Phone (208) 814-7350
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036082174 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, ND, CO, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1253 N Alpine Rd
Sa Brookside Specialty Center
Rockford, IL 61107-2201
Phone (779) 696-9201
2251 N Shore Dr
Rhinelander, WI 54501-6710
240 Maple St
Woodruff, WI 54568-9190
Phone (715) 356-8140
400 W 16TH St
Pueblo, CO 81003-2745
Phone (719) 584-4921
4404 Barranca LN
Unit 101
Castle Rock, CO 80104-7419
Phone (720) 733-5260
Hospital & facility affiliations
- Uw Health
- Aspirus Rhinelander Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036082174 | IL | MD | Otolaryngology Physician |
Practice roles
Locations
4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260
1619 N Greenwood St
Ste 106
Pueblo, CO 81003
Phone (719) 595-7760
58 Club Manor Dr
Pueblo, CO 81008
Phone (719) 584-4045
1218 S Pueblo Blvd
Pueblo, CO 81005
Phone (719) 542-1803
29980 Network Pl
Chicago, IL 60673
1253 N Alpine Rd
Rockford, IL 61107
Phone (779) 696-9201
6824 Newburg Rd
Rockford, IL 61108
Phone (779) 696-7610
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
2401 Demers Ave
Grand Forks, ND 58201
Phone (701) 780-1891
1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000
110 E 5th Ave
Antigo, WI 54409
Phone (715) 623-2351
400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318
2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074
2251 N Shore Dr
Rhinelander, WI 54501
Phone (715) 361-2300
209 Prentice St N
Stevens Point, WI 54481
Phone (715) 344-4611
900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500
401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700
190 Grand Seasons Dr
Waupaca, WI 54981
Phone (715) 258-3401
Interoperability endpoints
- hkotlermd434974@carlehiedirect.net
Organizations & group practices 20
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.
-
- Clinic/Center
- Stevens Point, WI
- NPI 1144991340
-
- General Practice Physician
- Loveland, CO
- NPI 1225356868
-
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
- Clinic/Center
- Grand Forks, ND
- NPI 1043309552
-
- Rural Health Clinic/Center
- Elcho, WI
- NPI 1831251040
-
- General Acute Care Hospital
- Stevens Point, WI
- NPI 1538112230
-
- Critical Access Hospital
- Antigo, WI
- NPI 1639187412
-
- Community/Retail Pharmacy
- Rockford, IL
- NPI 1306635982
-
- Ambulance
- Grand Forks, ND
- NPI 1114485315
-
- General Acute Care Hospital
- Grand Forks, ND
- NPI 1154346161
-
- Clinic/Center
- Rhinelander, WI
- NPI 1679757751
Hospital & facility affiliations 17
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rockford, IL
- NPI 1760542732
-
- Rural Health Clinic/Center
- Rhinelander, WI
- NPI 1598420218
Hospital
-
- Clinic/Center
- Plover, WI
- NPI 1053080168
Hospital
-
- Clinic/Center
- Wittenberg, WI
- NPI 1114696507
Hospital
-
- Clinic/Center
- Stevens Point, WI
- NPI 1144991340
Hospital
-
- Clinic/Center
- Stevens Point, WI
- NPI 1306515671
Hospital
-
- Clinic/Center
- Amherst, WI
- NPI 1316616428
Hospital
-
- Clinic/Center
- Rhinelander, WI
- NPI 1316616683
Hospital
-
- Family Medicine Physician
- Stevens Point, WI
- NPI 1336818608
Hospital
-
- General Acute Care Hospital
- Rhinelander, WI
- NPI 1356391247
-
- General Practice Physician
- Rhinelander, WI
- NPI 1548628100
Hospital
-
- Rural Health Clinic/Center
- Tomahawk, WI
- NPI 1558912469
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712534400000",
"number": "1609805985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "843 W ADAMS ST APT 509",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606073000",
"telephone_number": "312-622-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "843 W ADAMS ST APT 509",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606073000",
"telephone_number": "312-622-3500"
}
],
"practiceLocations": [
{
"address_1": "625 Pole Line Rd W Ste 2B",
"address_purpose": "LOCATION",
"city": "Twin Falls",
"state": "ID",
"postal_code": "833014270",
"country_code": "US",
"telephone_number": "208-814-7350",
"fax_number": "208-732-8508",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOTLER",
"first_name": "HOWARD",
"middle_name": "SHANE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2024-04-08",
"certification_date": "2024-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "IL",
"license": "036082174",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036082174",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.