Active NPI
Nina Ellen Kottler, MD
- Diagnostic Radiology Physician
- Coeur D Alene, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- M9324
- 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
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 |
|---|---|---|---|---|
| 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, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLCSingleton Associates PAEagle Partners, PLLC
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M9324 | ID | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greensboro Radiology, PA | Diagnostic Radiology | Current | Accepting new patients |
| Imaging Associates of Michigan PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Specialists in Medical Imaging, SC | Diagnostic Radiology | Current | Accepting new patients |
| Screening for Life LLC | Current | Accepting new patients | |
| Imaging Associates of New Mexico LLC | Diagnostic Radiology | Current | Accepting new patients |
| Louisville Radiology Imaging Consultants, PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Middle Tennessee Imaging LLC | Diagnostic Radiology | Past | Accepting new patients |
| Mountain Radiology, Inc | Diagnostic Radiology | Past | Accepting new patients |
| Virtual Radiologic Professionals of California, P.a | Diagnostic Radiology | Past | Accepting new patients |
| Radiology Associates of Southwest Louisiana | Diagnostic Radiology | Past | Accepting new patients |
| Shelin Agrawal and Hyer PLLC | Diagnostic Radiology | Past | Accepting new patients |
| Radiology Associates of Appleton, S.C. | Diagnostic Radiology | Past | Accepting new patients |
| Citizens Medical Center County of Victoria | Past | Accepting new patients | |
| Empire State Radiology P C | Diagnostic Radiology | Past | Accepting new patients |
| Northside Radiology Associates LLC | Diagnostic Radiology | Past | Accepting new patients |
| Imrad of Virginia PLLC | Diagnostic Radiology | Past | Accepting new patients |
| Radiology Associates of Canton, Inc. | Diagnostic Radiology | Past | Accepting new patients |
| Adi Radiology PC | Diagnostic Radiology | Past | Accepting new patients |
| Ellis Bandt Birkin Kollins & Wong PLLC | Diagnostic Radiology | Past | Accepting new patients |
| Alaska Radiology Associates Inc | Past | Accepting new patients | |
| Silicon Valley Diagnostic Imaging, Inc. | Diagnostic Radiology | Past | Accepting new patients |
| Imaging Associates of Indiana, PC | Diagnostic Radiology | Past | Accepting new patients |
| Radiology Affiliates of Central New Jersey PC | Diagnostic Radiology | Past | Accepting new patients |
| Murfreesboro Radiology & Nuclear Medicine Consultants PLLC | Diagnostic Radiology | Past | Accepting new patients |
| Advanced Radiology, S.C. | Diagnostic Radiology | Past | Accepting new patients |
| Connecticut Imaging Partners, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Sonoran Radiology LTD | Diagnostic Radiology | Past | Accepting new patients |
| Radiology Specialists LTD Marasso-Miller | Diagnostic Radiology | Past | Accepting new patients |
| Mori Bean and Brooks Inc | Diagnostic Radiology | Past | Accepting new patients |
| Medical X-Ray Consultants, LTD | Diagnostic Radiology | Past | Accepting new patients |
| Diagnostic Radiology & Imaging LLC | Diagnostic Radiology | Past | Accepting new patients |
| Radiology Alliance PC | Diagnostic Radiology | Past | Accepting new patients |
| Georgia Radiology Imaging Consultants, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Jefferson Radiology, PC | Diagnostic Radiology | Past | Accepting new patients |
| Virtual Radiologic Professionals, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Golden State Imaging Associates Inc | Diagnostic Radiology | Past | 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
- 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.
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- NPI 1821035999
CA, Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Marquette, MI
- NPI 1164943007
CA, Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Olympia Fields, IL
- NPI 1841687951
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-
- Diagnostic Radiology Physician
- Owensboro, KY
- NPI 1639115447
Diagnostic Radiology
-
- Mobile Radiology Clinic/Center
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- NPI 1558614388
-
- Diagnostic Radiology Physician
- Rock Island, IL
- NPI 1790773539
Diagnostic Radiology
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- NPI 1003803214
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- General Acute Care Hospital
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- NPI 1124052162
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; 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.