Patricia Kotylo, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

38760 Issued in KY

Practice address

411 S Oakwood Dr
Greenwood, IN 46142-2047

Phone

(317) 889-8452

NPI assigned

May 31, 2005

Last updated

Apr 24, 2018By the provider in NPPES

Sex

Female

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pathology Associates of Terre Haute, Inc.

  • Specialist
  • Terre Haute, IN
  • NPI 1700889037
  NPD (past)
• Clinical Associates, LLC

  dba CPA Lab

  • Anatomic Pathology & Clinical Pathology Physician
  • Louisville, KY
  • NPI 1881697464
  NPD (past)

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524528000000",
    "number": "1639172091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 S OAKWOOD DR",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461422047",
            "telephone_number": "317-889-8452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 S OAKWOOD DR",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461422047",
            "telephone_number": "317-889-8452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2307 Greene Way",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402204009",
            "country_code": "US",
            "telephone_number": "502-897-9594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOTYLO",
        "first_name": "PATRICIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-31",
        "last_updated": "2018-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "KY",
            "license": "38760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100360620",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "000000085801",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Habib John Komari, M.D.
• Alexandria Koons
• Madeleine Korb, BCBA
• Joseph Kornokovich, PHARMD
• Madeline Kossick
• Brenda Marie Kramer, CMT
• Katheryn M Kramer, OTR
• Margaret Judith Kramer
• Jennifer Kremer, OTR
• Laura Kremer, PTA

• Anatomic Pathology & Clinical Pathology Physician in Greenwood, IN
• Providers in Greenwood, IN by specialty
• Anatomic Pathology & Clinical Pathology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.