Individual provider Active NPI

Nina Ellen Kottler, MD

  • Diagnostic Radiology Physician
  • Coeur D Alene, ID
National Provider Identifier
1770545568
Registry record updated Oct 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
M9324 Issued in ID
Practice address
601 Front Avenue
Suite 502
Coeur D Alene, ID 83814
Phone
(208) 415-0524
Fax
(208) 763-3644
NPI assigned
Apr 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X M9324 ID Primary

Addresses

Primary practice location

601 Front Avenue
Suite 502
Coeur D Alene, ID 83814

Mailing address

601 Front Avenue
Suite 502
Coeur D Alene, ID 83814
Phone (208) 415-0524

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120612000673 CA Practitioner - Diagnostic Radiology 8022043736 Reassigns benefits to 6 organizations
I20140114000200 TX Practitioner - Diagnostic Radiology 8022043736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Massachusetts Medical School, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imaging Associates of New Mexico LLCGroup PAC ID 4981970233, 164 clinicians
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians
Eagle Partners, PLLCGroup PAC ID 9032205752, 170 clinicians

Practice addresses (Care Compare)

18278 Via de Sueno
Rancho Santa Fe, CA 92067
Phone (505) 225-8476

18278 Via de Sueno
Suite 2761
Rancho Santa Fe, CA 92067-2761
Phone (832) 355-4112

Hospital & facility affiliations

  • Memorial Medical Center Hospital, Las Cruces, NM, CCN 320018

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M9324IDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greensboro Radiology, PA Diagnostic Radiology CurrentSince May 10, 2019 Accepting new patients
Imaging Associates of Michigan PLLC Diagnostic Radiology CurrentSince Dec 30, 2017 Accepting new patients
Specialists in Medical Imaging, SC Diagnostic Radiology CurrentSince Apr 15, 2018 Accepting new patients
Screening for Life LLC CurrentSince Feb 1, 2014 Accepting new patients
Imaging Associates of New Mexico LLC Diagnostic Radiology CurrentSince Mar 1, 2018 Accepting new patients
Louisville Radiology Imaging Consultants, PLLC Diagnostic Radiology CurrentSince Aug 1, 2006 Accepting new patients
Middle Tennessee Imaging LLC Diagnostic Radiology PastSince Jun 13, 2025 Accepting new patients
Mountain Radiology, Inc Diagnostic Radiology PastSince Sep 15, 2020 Accepting new patients
Virtual Radiologic Professionals of California, P.a Diagnostic Radiology Past Accepting new patients
Radiology Associates of Southwest Louisiana Diagnostic Radiology PastSince Jul 30, 2025 Accepting new patients
Shelin Agrawal and Hyer PLLC Diagnostic Radiology PastSince Dec 18, 2018 Accepting new patients
Radiology Associates of Appleton, S.C. Diagnostic Radiology PastSince Nov 25, 2019 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Empire State Radiology P C Diagnostic Radiology PastSince Jan 15, 2020 Accepting new patients
Northside Radiology Associates LLC Diagnostic Radiology PastSince Jan 1, 2021 Accepting new patients
Imrad of Virginia PLLC Diagnostic Radiology PastSince Jan 29, 2019 Accepting new patients
Radiology Associates of Canton, Inc. Diagnostic Radiology Past Accepting new patients
Adi Radiology PC Diagnostic Radiology PastSince Dec 7, 2020 Accepting new patients
Ellis Bandt Birkin Kollins & Wong PLLC Diagnostic Radiology PastSince Dec 18, 2018 Accepting new patients
Alaska Radiology Associates Inc PastSince Jun 4, 2025 Accepting new patients
Silicon Valley Diagnostic Imaging, Inc. Diagnostic Radiology PastSince Dec 20, 2024 Accepting new patients
Imaging Associates of Indiana, PC Diagnostic Radiology PastSince Jan 1, 2021 Accepting new patients
Radiology Affiliates of Central New Jersey PC Diagnostic Radiology PastSince Oct 31, 2020 Accepting new patients
Murfreesboro Radiology & Nuclear Medicine Consultants PLLC Diagnostic Radiology PastSince Dec 31, 2020 Accepting new patients
Advanced Radiology, S.C. Diagnostic Radiology PastSince May 6, 2022 Accepting new patients
Connecticut Imaging Partners, LLC Diagnostic Radiology PastSince Jun 11, 2025 Accepting new patients
Sonoran Radiology LTD Diagnostic Radiology PastSince Feb 22, 2024 Accepting new patients
Radiology Specialists LTD Marasso-Miller Diagnostic Radiology PastSince Dec 15, 2020 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology PastSince Jan 1, 2021 Accepting new patients
Medical X-Ray Consultants, LTD Diagnostic Radiology PastSince Aug 16, 2023 Accepting new patients
Diagnostic Radiology & Imaging LLC Diagnostic Radiology PastSince Jun 11, 2025 Accepting new patients
Radiology Alliance PC Diagnostic Radiology PastSince Dec 15, 2020 Accepting new patients
Georgia Radiology Imaging Consultants, LLC Diagnostic Radiology PastSince Jan 1, 2021 Accepting new patients
Jefferson Radiology, PC Diagnostic Radiology PastSince Jun 18, 2025 Accepting new patients
Virtual Radiologic Professionals, LLC Diagnostic Radiology PastSince Nov 1, 2024 Accepting new patients
Golden State Imaging Associates Inc Diagnostic Radiology PastSince Dec 30, 2024 Accepting new patients

Locations

1936 University Ave
Ste 280
Berkeley, CA 94704
Phone (510) 204-0688

1345 Encinitas Blvd
Encinitas, CA 92024
Phone (252) 633-8711

299 Glasgow Rd
Burkesville, KY 42717
Phone (270) 864-2511

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ei-jefferson

Organizations & group practices 38

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.

View all 38

Hospital & facility affiliations 1

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": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350950400000",
    "number": "1770545568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 FRONT AVENUE",
            "address_2": "SUITE 502",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "83814",
            "telephone_number": "208-415-0524",
            "fax_number": "208-763-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 FRONT AVENUE",
            "address_2": "SUITE 502",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "83814",
            "telephone_number": "208-415-0524",
            "fax_number": "208-763-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTTLER",
        "first_name": "NINA",
        "middle_name": "ELLEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2012-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ID",
            "license": "M9324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur D Alene, ID

Sources for this page

Verify at the official NPI Registry.