Individual provider Active NPI

Howard Shane Kotler, M.D.

  • Otolaryngology Physician
  • Chicago, IL
National Provider Identifier
1609805985
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
036082174 Issued in IL
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

Updated by the provider on Apr 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
036082174MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, ND, CO, WI4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20100625000057 IL Practitioner - Otolaryngology 9234298712 Reassigns benefits to 2 organizations
I20231101000317 ND Practitioner - Otolaryngology 9234298712 Reassigns benefits to 1 organization
I20240319002767 CO Practitioner - Otolaryngology 9234298712 Reassigns benefits to 1 organization
I20260115001928 WI Practitioner - Otolaryngology 9234298712 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swedishamerican HospitalGroup PAC ID 5799698346, 386 clinicians
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

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 Hospital, Rockford, IL, CCN 140228
  • Aspirus Rhinelander Hospital Hospital, Rhinelander, WI, CCN 520019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036082174ILMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carle Health Care Incorporated CurrentSince Jan 21, 2025 Accepting new patients
Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin CurrentSince Jan 1, 2026 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Altru Health System CurrentSince Oct 12, 2023 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Swedishamerican Hospital Otolaryngology CurrentSince Mar 14, 2024 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Altru Health System Current Accepting new patients
Altru Health System CurrentSince Oct 12, 2023 Accepting new patients
Swedishamerican Hospital CurrentSince Mar 14, 2024 Accepting new patients
Poudre Valley Medical Group, LLC Current Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Jun 1, 2025 Accepting new patients
Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin CurrentSince Jan 1, 2026 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. Past Accepting new patients
Langlade Memorial Hospital Past Accepting new patients
St Luke'S Magic Valley Regional Medical Center LTD Past Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. Past Accepting new patients

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

  • Direct secure messaging: 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.

View all 20

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

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

Verify at the official NPI Registry.