Individual provider Active NPI

William Maxwell Kotler, M.D.

  • Emergency Medicine Physician
  • Orlando, FL
National Provider Identifier
1659768299
Registry record updated Apr 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
TRN# 21072 Issued in FL
Practice address
7727 Lake Underhill Rd
Orlando, FL 32822-8224
Phone
(407) 303-8110
NPI assigned
Apr 21, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X TRN# 21072 FL Primary

Addresses

Primary practice location

7727 Lake Underhill Rd
Orlando, FL 32822-8224

Mailing address

308 Silver Oaks LN
River Ridge, LA 70123-2030
Phone (504) 460-2582

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20181024000594 LA Practitioner - Emergency Medicine 0143573907 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Independence Emergency Group LLCGroup PAC ID 4284759325, 20 clinicians
Pelican State Industrial Medicine Inc ApmcGroup PAC ID 4284613613, 5 clinicians
Hospital Service District No. 1 of Plaquemines ParishGroup PAC ID 4082715008, 10 clinicians

Practice addresses (Care Compare)

1415 Tulane Ave
New Orleans, LA 70112-2600
Phone (504) 780-6413

1525 Dickory Ave
Harahan, LA 70123-2168
Phone (504) 818-0006

27136 Hwy 23
Port Sulphur, LA 70083-2602
Phone (985) 564-3344

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TRN# 21072FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Independence Emergency Group LLC Emergency Medicine CurrentSince Sep 9, 2018 Accepting new patients
Pelican State Industrial Medicine Inc Apmc CurrentSince Dec 1, 2018 Accepting new patients
East Jefferson Emergency Management LLC Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients
Hospital Service District No. 1 of Plaquemines Parish CurrentSince Dec 1, 2018 Accepting new patients

Locations

8712 Highway 23
Belle Chasse, LA 70037
Phone (504) 226-2550

4700 S I 10 Svc Rd W
Metairie, LA 70001
Phone (504) 780-6453

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

1525 Dickory Ave
New Orleans, LA 70123
Phone (504) 818-0006

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

27136 Highway 23
Port Sulphur, LA 70083
Phone (504) 392-7000

Organizations & group practices 4

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.

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": "1429574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429574400000",
    "number": "1659768299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 SILVER OAKS LN",
            "city": "RIVER RIDGE",
            "state": "LA",
            "postal_code": "701232030",
            "telephone_number": "504-460-2582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7727 LAKE UNDERHILL RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328228224",
            "telephone_number": "407-303-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTLER",
        "first_name": "WILLIAM",
        "middle_name": "MAXWELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-21",
        "last_updated": "2015-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "TRN# 21072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.