David Charles Kottra, DO

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

051152 Issued in MD

Practice address

200 Memorial Ave.
Westminster, MD 21157

Phone

(410) 876-7921

NPI assigned

Aug 15, 2006

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 MD

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 Osteopathy

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 and National Provider Directory roles.

• Carroll County Anesthesia Associates, PA

  • Anesthesiology Physician
  • Westminster, MD
  • NPI 1174564884

  MD

  Medicare reassignment Care Compare group
• Anesthesia Resources of Augusta, LLC

  • Registered Nurse
  • Augusta, GA
  • NPI 1689689283
  NPD (past)

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

• Carroll Hospital Center, Inc.

  • General Acute Care Hospital
  • Westminster, MD
  • NPI 1912904210

  Hospital

  Care Compare affiliation

Specialty

Anesthesiology

Education

College of Osteo Med of the Pacific at Pomona, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carroll County Anesthesia Associates, PA 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Carroll Hospital Center Hospital, Westminster, MD, CCN 210033

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203292800000",
    "number": "1699788901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W MICHIGAN AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012218",
            "telephone_number": "517-787-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEMORIAL AVE.",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "21157",
            "telephone_number": "410-876-7921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTTRA",
        "first_name": "DAVID",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2008-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "051152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012144400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Faye L Koerner, CRNP
• Patricia Erin Kokoski, PHARMD
• Shannon E Kolawolmay, MS
• Olivia Koletar
• Sumana Kommana, MD
• Elizabeth S Kraft
• Stacy-Jo Krasa
• Dale A Krauss Jr., DPT
• Kerianna Krehbiel, CCC-SLP
• Madeline Krieger, RN, LCPC

• All providers in Westminster, MD
• Anesthesiology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2008; 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.

Verify at the official NPI Registry.