Individual provider Active NPI

Eric L Cottrill, M.D.

  • Gastroenterology Physician
  • Tulsa, OK
National Provider Identifier
1659368850
Registry record updated Jan 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
13194 Issued in OK
Practice address
10505 E 91St St
Suite 200
Tulsa, OK 74133-5801
Phone
(918) 307-3144
Fax
(918) 307-3145
NPI assigned
Oct 3, 2005
Last updated
Jan 5, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 13194 OK Primary

Addresses

Primary practice location

10505 E 91St St
Suite 200
Tulsa, OK 74133-5801

Mailing address

PO Box 700930
Tulsa, OK 74170-0930
Phone (918) 307-3144

Other identifiers 1

IdentifierTypeStateIssuer
100221630AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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

Enrollment IDStateProvider typePAC IDDetails
I20091208000387 OK Practitioner - GastroenterologyPractitioner - Internal Medicine 2668451360 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of Oklahoma College of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10505 E 91St St
Suite 200
Tulsa, OK 74133-5829
Phone (918) 307-3144

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.13 of 100Reported as individual
Quality
68.5
Promoting interoperability
96
Improvement activities
40
Cost
85.26

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy126
Upper gastrointestinal (GI) endoscopy for acid reflux299

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13194OKMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Associates PLLC Gastroenterology CurrentSince Nov 1, 2009 Accepting new patients

Locations

10505 E 91st St
Ste 200
Tulsa, OK 74133
Phone (918) 307-3144

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3633/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262649600000",
    "number": "1659368850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 700930",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741700930",
            "telephone_number": "918-307-3144",
            "fax_number": "918-307-3145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10505 E 91ST ST",
            "address_2": "SUITE 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335801",
            "telephone_number": "918-307-3144",
            "fax_number": "918-307-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTRILL",
        "first_name": "ERIC",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2010-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OK",
            "license": "13194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100221630A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.