Active NPI
Michael Dean Kotler, MD
- Emergency Medicine Physician
- Harahan, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 08650R
- Practice address
- 1525 Dickory Ave
Harahan, LA 70123-2168 - Phone
- (504) 818-0006
- Fax
- (504) 818-0095
- NPI assigned
- Nov 2, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 08650R | LA | Primary |
Addresses
Primary practice location
1525 Dickory Ave
Harahan, LA 70123-2168
Mailing address
1525 Dickory Ave
Harahan, LA 70123-2168
Phone (504) 818-0006
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1916633 | Medicaid | LA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1525 Dickory Ave
Harahan, LA 70123-2168
Phone (504) 818-0006
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08650R | LA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pelican State Industrial Medicine Inc Apmc | Current | Accepting new patients | |
| Plaquemines Primary Care, Inc. | Current | Accepting new patients | |
| Hospital Service District No. 1 of Plaquemines Parish | Current | Accepting new patients | |
| Remotemd LLC | Current | Accepting new patients | |
| Remote MD Texas PLLC | Emergency Medicine | Current | Accepting new patients |
Locations
8712 Highway 23
Belle Chasse, LA 70037
Phone (504) 226-2550
1525 Dickory Ave
New Orleans, LA 70123
Phone (504) 818-0006
27136 Highway 23
Ste A
Port Sulphur, LA 70083
Phone (504) 564-0848
27136 Highway 23
Port Sulphur, LA 70083
Phone (504) 392-7000
Interoperability endpoints
- https://api.platform.athenahealth.com/19414/brand/1/csg/1/fhir/r4
Organizations & group practices 5
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.
-
- Urgent Care Clinic/Center
- Harahan, LA
- NPI 1679527725
-
- Urgent Care Clinic/Center
- Port Sulphur, LA
- NPI 1205856226
-
- Federally Qualified Health Center (FQHC)
- Port Sulphur, LA
- NPI 1407171721
-
- Urgent Care Clinic/Center
- New Orleans, LA
- NPI 1386252674
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282867200000",
"number": "1760473375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1525 DICKORY AVE",
"city": "HARAHAN",
"state": "LA",
"postal_code": "701232168",
"telephone_number": "504-818-0006",
"fax_number": "504-818-0095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 DICKORY AVE",
"city": "HARAHAN",
"state": "LA",
"postal_code": "701232168",
"telephone_number": "504-818-0006",
"fax_number": "504-818-0095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOTLER",
"first_name": "MICHAEL",
"middle_name": "DEAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-02",
"last_updated": "2010-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "LA",
"license": "08650R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1916633",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harahan, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; 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.