Dennis J Kotlove, M.D.

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

172093 Issued in NY

Practice address

214 King St
Ogdensburg, NY 13669-1142

Phone

(315) 713-6220

Fax

(315) 393-3873

NPI assigned

Jan 12, 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 NY

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

Specialty

Radiation Oncology

Education

State University of Ny Upstate Medical University, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Upstate University Radiation Oncology IncGroup PAC ID 7719012889, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University Hospital S U N Y Health Science Center Hospital, Syracuse, NY, CCN 330241

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dkotlove@hiemail.healtheconnections.org
• Direct secure messaging: dkotlove34778@mvhealthsystem.direct-ci.com
• Direct secure messaging: dkotlove187480@direct-guthrie.org
• Direct secure messaging: dkotlove120328@direct.upstate.edu

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.

• Upstate University Radiation Oncology, Inc.

  • Radiation Oncology Physician
  • Syracuse, NY
  • NPI 1922337195
  Medicare reassignment Care Compare group NPD
• Guthrie Medical Group, P.C.

  • Multi-Specialty Clinic/Center
  • Corning, NY
  • NPI 1134178635
  Medicare reassignment NPD
• MVHS Inc

  • Family Medicine Physician
  • Utica, NY
  • NPI 1770690737
  Medicare reassignment NPD
• MVHS Inc

  • Community/Retail Pharmacy
  • Utica, NY
  • NPI 1306573753
  NPD
• Guthrie Medical Group, P.C.

  • General Practice Physician
  • Sayre, PA
  • NPI 1245246644
  NPD

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

• Suny Health Science Center at Syracuse

  • General Acute Care Hospital
  • Syracuse, NY
  • NPI 1578554630
  Care Compare affiliation

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460505600000",
    "number": "1790764249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 LYON PL",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136692586",
            "telephone_number": "315-713-6220",
            "fax_number": "315-393-3873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 KING ST",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136691142",
            "telephone_number": "315-713-6220",
            "fax_number": "315-393-3873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTLOVE",
        "first_name": "DENNIS",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2016-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NY",
            "license": "172093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01194898",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacie Lee Kinney, SPECIAL ED TEACHER
• Amy Kirker, LPN
• Mary Knight, FNP
• Pazliddin Kobilov, DDS
• Vijayasimha Kotha, MD
• KPH Healthcare Services, Inc.
• Amy L Kramer
• Tara L Kroeger, RN
• Megan Kuiken, RN
• Daniel Kyung, M.D.

• Radiation Oncology Physician in Ogdensburg, NY
• Providers in Ogdensburg, NY by specialty
• Radiation Oncology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; 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.