Active NPI
Timur Kotlyar, M.D.
- Diagnostic Radiology Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME165058
- Practice address
- 6001 Webb Rd
Tampa, FL 33615-3241 - Phone
- (312) 724-8477
- NPI assigned
- May 12, 2015
- Last updated
- Mar 12, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Diagnostic Radiology Physician | 2085R0202X | 102646 | GA | |
| Diagnostic Radiology Physician | 2085R0202X | 34100 | NH | |
| Diagnostic Radiology Physician | 2085R0202X | MD28945 | ME | |
| Diagnostic Radiology Physician | 2085R0202X | ME165058 | FL | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 01095395A | IN | |
| Diagnostic Radiology Physician | 2085R0202X | 2020-00439 | NC | |
| Diagnostic Radiology Physician | 2085R0202X | M-15670 | ID |
Addresses
Primary practice location
6001 Webb Rd
Tampa, FL 33615-3241
Mailing address
PO Box 1108
Corvallis, OR 97339-1108
Phone (805) 286-3826
Other practice location 1
489 State St
Bangor, ME 04401-6616
Phone (207) 973-7000
Other practice location 2
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 662-4735
Other practice location 3
2100 Erwin Road
Durham, NC 27710-1301
Phone (917) 257-9765
Other practice location 4
1 Atwell Rd
Cooperstown, NY 13326-1301
Phone (607) 547-3456
Other practice location 5
1100 Reid Pkwy
Richmond, IN 47374-1157
Phone (765) 935-8895
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID, DC, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Boise, ID 83703
Phone (260) 432-1568
1000 N 16TH St
New Castle, IN 47362-4319
Phone (765) 521-0890
1100 Reid Pkwy
Richmond, IN 47374-1157
Phone (765) 983-3122
190 E Bannock St
Boise, ID 83712-6241
Phone (208) 549-0370
2456 S 60TH
Idaho Falls, ID 83406-8003
Phone (904) 399-5550
5899 W Castle Dr
Boise, ID 83703-3214
Phone (269) 781-4271
Hospital & facility affiliations
- St Luke's Regional Medical Center
- St Luke's Nampa Medical Center
- Lutheran Hospital of Indiana
- Mainehealth Maine Medical Center
- Greene County General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.06 of 100
- Quality
- 72.79
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.94 of 100
- Quality
- 92.87
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME165058 | FL | MD | Diagnostic Radiology Physician |
| 102646 | GA | MD | Diagnostic Radiology Physician |
| M-15670 | ID | MD | Diagnostic Radiology Physician |
| 01095395A | IN | MD | Diagnostic Radiology Physician |
| MD28945 | ME | MD | Diagnostic Radiology Physician |
| 34100 | NH | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ella E M Brown Charitable Circle | Diagnostic Radiology | Current | Accepting new patients |
| Summit Radiology P C | Diagnostic Radiology | Current | Accepting new patients |
| Mori Bean and Brooks Inc | Diagnostic Radiology | Current | Accepting new patients |
| Weiser Valley Hospital District | Current | Accepting new patients | |
| Pacific Imaging Associates LLC | Diagnostic Radiology | Current | Accepting new patients |
| Reid Physician Associates, Inc. | Current | Accepting new patients | |
| Dimensions Healthcare Associates, Inc. | Current | Accepting new patients | |
| Spectrum Healthcare Partners, P.a. | Current | Accepting new patients | |
| Dimensions Health Associates Dba University of Maryland Capital Region | Current | Accepting new patients | |
| Reid Physician Associates, Inc | Current | Accepting new patients | |
| Dimensions Healthcare Associates Inc | Diagnostic Radiology | Current | Accepting new patients |
| North Canyon Medical Center Inc. | Current | Accepting new patients | |
| Weiser Valley Hospital District | Diagnostic Radiology | Current | Accepting new patients |
| Spectrum Healthcare Partners, PA | Diagnostic Radiology | Current | Accepting new patients |
| North Canyon Medical Center, Inc. | Current | Accepting new patients | |
| Spectrum Healthcare Partners, PA | Diagnostic Radiology | Current | Accepting new patients |
| Boise Radiology Group PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Gainesville Radiology Group, PC | Diagnostic Radiology | Current | Accepting new patients |
| Greene County General Hospital | Diagnostic Radiology | Current | Accepting new patients |
| St Lukes Regional Medical Center | Past | Accepting new patients |
Locations (25 of 27)
6001 Webb Rd
Twn North Cntry, FL 33615
Phone (813) 579-1402
743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915
100 E Idaho St
Boise, ID 83712
Phone (208) 343-3223
1000 E Park Blvd
Boise, ID 83712
Phone (208) 381-4100
190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378
600 N Robbins Rd
Boise, ID 83702
Phone (208) 489-4444
701 E Parkcenter Blvd
Boise, ID 83706
Phone (208) 381-6400
703 S Americana Blvd
Boise, ID 83702
Phone (208) 706-6375
3101 E State St
Eagle, ID 83616
Phone (208) 473-3100
1210 NW 16th St
Fruitland, ID 83619
Phone (208) 452-8600
267 N Canyon Dr
Gooding, ID 83330
Phone (208) 934-4433
3140 W Milano Dr
Ste 150
Meridian, ID 83646
Phone (208) 887-4775
3277 E Louise Dr
Ste 100
Meridian, ID 83642
Phone (208) 706-5217
520 S Eagle Rd
Meridian, ID 83642
Phone (208) 706-5000
895 N 6th E
Mtn Home, ID 83647
Phone (208) 580-2661
9850 W St Lukes Dr
Nampa, ID 83687
Phone (208) 205-7282
645 E 5th St
Weiser, ID 83672
Phone (208) 549-0370
1185 N 1000 W
Linton, IN 47441
Phone (812) 847-2281
1000 N 16th St
New Castle, IN 47362
Phone (765) 521-0890
1100 Reid Pkwy
Richmond, IN 47374
Phone (765) 983-3000
2900 Mercy Ln
Cheverly, MD 20785
Phone (301) 618-2010
900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010
901 Harry S Truman Dr N
Uppr Marlboro, MD 20774
Phone (240) 677-0021
489 State St
Bangor, ME 04401
Phone (207) 973-8837
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
Organizations & group practices 21
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.
-
dba Coastal Vein Vascular Institute
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1093782070
ID
-
- Diagnostic Radiology Physician
- Boise, ID
- NPI 1740216175
-
dba Oaklawn Hospital
- Diagnostic Radiology Physician
- Marshall, MI
- NPI 1043660467
ID
-
- Hospitalist Physician
- Linton, IN
- NPI 1942703004
Diagnostic Radiology, ID
-
dba Reid Health Physician Associates
- Internal Medicine Physician
- Richmond, IN
- NPI 1265689111
-
dba Spectrum Radiology South
- Diagnostic Radiology Physician
- Portland, ME
- NPI 1669488011
ID
-
- Family Medicine Physician
- Weiser, ID
- NPI 1255364030
-
dba Healthlink
- Family Medicine Physician
- New Castle, IN
- NPI 1891570537
-
dba University of Maryland Capital Region Health Medical Group
- Internal Medicine Physician
- Laurel, MD
- NPI 1487714168
Diagnostic Radiology, ID
Hospital & facility affiliations 41
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Linton, IN
- NPI 1184695389
-
dba Lutheran Hospital of Indiana
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1306897335
-
dba MMP Orthopedics ( Div of Orthopedic Trauma & Fracture Care)
- Orthopaedic Trauma Physician
- Portland, ME
- NPI 1003113127
Hospital
-
dba Maine Hemophilia and Thrombosis Center
- General Acute Care Hospital
- Scarborough, ME
- NPI 1053647024
-
dba Maine Medical Center Infectious Disease
- Infectious Disease Physician
- Portland, ME
- NPI 1073701157
Hospital
-
dba Geriatric Consults
- Geriatric Medicine (Internal Medicine) Physician
- Portland, ME
- NPI 1164610242
Hospital
-
dba MMC Pediatric Intensive Care Unit
- Pediatric Critical Care Medicine Physician
- Portland, ME
- NPI 1265536817
Hospital
-
- General Acute Care Hospital
- Portland, ME
- NPI 1346267879
-
dba Maine Medical Partners Endocrinlogy & Diabetes
- Endocrinology, Diabetes & Metabolism Physician
- Scarborough, ME
- NPI 1356651038
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773273600000",
"number": "1669850590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1108",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973391108",
"telephone_number": "805-286-3826",
"fax_number": "805-221-6843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6001 WEBB RD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336153241",
"telephone_number": "312-724-8477"
}
],
"practiceLocations": [
{
"address_1": "489 State St",
"address_purpose": "LOCATION",
"city": "Bangor",
"state": "ME",
"postal_code": "044016616",
"country_code": "US",
"telephone_number": "207-973-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "22 Bramhall St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "ME",
"postal_code": "041023134",
"country_code": "US",
"telephone_number": "207-662-4735",
"fax_number": "207-662-6388",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2100 Erwin Road",
"address_purpose": "LOCATION",
"city": "Durham",
"state": "NC",
"postal_code": "277101301",
"country_code": "US",
"telephone_number": "917-257-9765",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Atwell Rd",
"address_purpose": "LOCATION",
"city": "Cooperstown",
"state": "NY",
"postal_code": "133261301",
"country_code": "US",
"telephone_number": "607-547-3456",
"fax_number": "607-547-6612",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1100 Reid Pkwy",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "IN",
"postal_code": "473741157",
"country_code": "US",
"telephone_number": "765-935-8895",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOTLYAR",
"first_name": "TIMUR",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-12",
"last_updated": "2026-03-12",
"certification_date": "2026-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "102646",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NH",
"license": "34100",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "ME",
"license": "MD28945",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME165058",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IN",
"license": "01095395A",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NC",
"license": "2020-00439",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "ID",
"license": "M-15670",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; 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.
- 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.