Cotton-O'Neil Clinic Revocable Trust

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

COTTON-O'NEIL CLINIC REVOCABLE TRUST

Practice address

901 SW Garfield Ave
Topeka, KS 66606-1670

Phone

(785) 354-9591

Fax

(785) 354-4268

NPI assigned

Mar 9, 2007

Organization subpart

No

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

Authorized official

Name

Todd Anthony Lutz

Title

Director Managed Care & Provider En

Phone

(785) 354-5215

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 2

• Cotton O'Neil Lab Doing business as
• Stormont Vail Health Lab Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Cotton-O'Neil Clinic Revocable Trust

  • Internal Medicine Physician
  • Topeka, KS
  • NPI 1811944457

  O20080326000181

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Cotton Oneil Clinic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Cotton O'Neil Clinic Recovable Trust

  • Psychiatry Physician
  • Topeka, KS
  • NPI 1245390251
  NPD tax ID
• Cotton-O'Neil Clinic Revocable Trust

  • Durable Medical Equipment & Medical Supplies
  • Topeka, KS
  • NPI 1700076015
  NPD tax ID

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786406400000",
    "number": "1609908474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 SW GARFIELD AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061670",
            "telephone_number": "785-354-9591",
            "fax_number": "785-354-4268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 SW GARFIELD AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061670",
            "telephone_number": "785-354-9591",
            "fax_number": "785-354-4268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTON-O'NEIL CLINIC REVOCABLE TRUST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A",
        "authorized_official_last_name": "LUTZ",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "DIRECTOR MANAGED CARE & PROVIDER EN",
        "authorized_official_telephone_number": "785-354-5215"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100217350T",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "130156",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Cotton O'Neil Lab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stormont Vail Health Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cosper'S Day Service L.L.C.
• Bailey Cossel, PHARMD, RPH
• Paul D Costigan, CADC
• Christopher Patrick Cote, PA
• Cotton O'Neil Clinic Recovable Trust
• Cotton-O'Neil Clinic Revocable Trust
• Cotton-O'Neil Clinic Revocable Trust
• Cotton-Oneil Clinic Endoscopy Center Rvoc TR
• Marcie Cottrell
• Amber D Couch

• Clinical Medical Laboratory in Topeka, KS
• Providers in Topeka, KS by specialty
• Clinical Medical Laboratory in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.