Peter James Nowotarski, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

30571 Issued in TN

Practice address

979 E 3Rd St
Ste C-220
Chattanooga, TN 37403-3314

Phone

(423) 267-4585

Fax

(423) 265-4098

NPI assigned

Dec 20, 2005

Sex

Male

Sole proprietor

No

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 TN

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Chattanooga Hamilton County Hospital Authority

  • Internal Medicine Physician
  • Chattanooga, TN
  • NPI 1154751931
  Medicare reassignment NPD
• Chattanooga Hamilton County Hospital Authority

  • Medicare Defined Swing Bed Hospital Unit
  • Pikeville, TN
  • NPI 1073622007
  NPD
• Orthopaedic Associates, PC

  • Orthopaedic Surgery Physician
  • Chattanooga, TN
  • NPI 1235105255
  NPD (past)

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1619953783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "979 E 3RD ST",
            "address_2": "STE C-220",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374033314",
            "telephone_number": "423-267-4585",
            "fax_number": "423-265-4098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "979 E 3RD ST",
            "address_2": "STE C-220",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374033314",
            "telephone_number": "423-267-4585",
            "fax_number": "423-265-4098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWOTARSKI",
        "first_name": "PETER",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "30571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00797244A",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Rochelle Notto, APRN
• Novalith, Inc.
• Novamed Surgery Center of Chattanooga LLC
• Novamed Surgery Center of Chattanooga, LLC
• Alina D. Novoa, D.O.
• Nponthego by D Oneil
• Olivia Alexis Nugent
• Nulife Senior Care of Chattanooga
• James Terrell Nunally Jr., MD
• Kathrin Khatereh Nunes, PAC

• Specialist in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.