NPIMap

Individual provider Active NPI

Kevin Gerard Kotar, DO

  • Family Medicine Physician
  • Bethel Park, PA
National Provider Identifier
1922235688
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS016064 Issued in PA
Practice address
2000 Oxford Dr Ste 560
Bethel Park, PA 15102-1892
Phone
(412) 831-1522
Fax
(412) 835-2746
NPI assigned
Jun 19, 2009
Last updated
Jul 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS016064 PA Primary
Internal Medicine Physician 207R00000X OS016064 PA
General Practice Physician 208D00000X OS016064 PA

Addresses

Primary practice location

2000 Oxford Dr Ste 560
Bethel Park, PA 15102-1892

Mailing address

701 Technology Dr Ste 150
Canonsburg, PA 15317-9531
Phone (412) 531-2902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120521000371 PA Practitioner - Family Practice 0941463459 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Pittsburgh School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2375 Greentree Rd
Carnegie, PA 15106-4203
Phone (412) 276-1560

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS016064PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Primary Care Physicians, Inc. Family Medicine CurrentSince Jul 2, 2012 Accepting new patients
Preferred Primary Care Physicians, Inc. Family Medicine Current Accepting new patients
Preferred Primary Care Physicians Family Medicine CurrentSince Jul 2, 2012 Accepting new patients
Preferred Primary Care Physicians Family Medicine PastSince Mar 26, 2023 Accepting new patients
Preferred Primary Care Physicians Family Medicine PastSince May 14, 2023 Accepting new patients

Locations

2000 Oxford Dr
Ste 560
Bethel Park, PA 15102
Phone (412) 831-1522

701 Technology Dr
Ste 150
Canonsburg, PA 15317
Phone (412) 531-2902

2375 Greentree Rd
Carnegie, PA 15106
Phone (412) 276-1560

1050 Bower Hill Rd
Ste 202
Pittsburgh, PA 15243
Phone (412) 572-6122

Interoperability endpoints

  • Direct secure messaging: kevinkotardo@preferred.medentdirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1245369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1922235688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 TECHNOLOGY DR STE 150",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153179531",
            "telephone_number": "412-531-2902",
            "fax_number": "412-531-2948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 OXFORD DR STE 560",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151021892",
            "telephone_number": "412-831-1522",
            "fax_number": "412-835-2746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTAR",
        "first_name": "KEVIN",
        "middle_name": "GERARD",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-19",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS016064",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS016064",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "OS016064",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethel Park, PA

Sources for this page

Verify at the official NPI Registry.