Individual provider Active NPI

Jaroslaw J Kotlarczyk, M.D.

  • Anesthesiology Physician
  • Anacortes, WA
National Provider Identifier
1972661296
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD33166 Issued in WA
Practice address
1211 24TH St
Anacortes, WA 98221-2562
Phone
(360) 293-3181
NPI assigned
Dec 6, 2006
Last updated
Jun 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD2006-0737 NM
Anesthesiology Physician 207L00000X 45127 CO
Anesthesiology Physician 207L00000X C53430 CA
Anesthesiology Physician 207L00000X MD33166 WA Primary

Addresses

Primary practice location

1211 24TH St
Anacortes, WA 98221-2562

Mailing address

PO Box 189
Coupeville, WA 98239-0189
Phone (360) 678-4071

Other identifiers 2

IdentifierTypeStateIssuer
0114KOOtherWAREGENCE BS
8212029MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, CA2 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
I20080430000698 WA Practitioner - Anesthesiology 9830080738 Reassigns benefits to 4 organizations
Practice locations: Anacortes, WA
I20151022000005 CA Practitioner - Anesthesiology 9830080738 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians
Cep America - Anesthesia PCGroup PAC ID 3678897915, 849 clinicians
Anesthesia and Analgesia Medical Group IncGroup PAC ID 1153316112, 73 clinicians

Practice addresses (Care Compare)

1717 S J St
Tacoma, WA 98405-4933
Phone (253) 426-6341

2540 E St
Concord, CA 94520-1906
Phone (925) 682-8200

3325 Chanate Rd
Santa Rosa, CA 95404-1707
Phone (707) 576-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C53430CAMDAnesthesiology Physician
45127COMDAnesthesiology Physician
MD2006-0737NMMDAnesthesiology Physician
MD33166WAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Association of University Physicians Anesthesiology CurrentSince Jan 1, 2008 Accepting new patients
Franciscan Medical Group Current Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Jun 15, 2025 Accepting new patients
Public Hospital District No 2 Skagit County Washington CurrentSince Apr 1, 2010 Accepting new patients
Public Hospital District No 2 Skagit County Washington CurrentSince Apr 1, 2010 Accepting new patients
Franciscan Medical Group CurrentSince Nov 1, 2023 Accepting new patients
Anesthesia & Analgesia Medical Group, Inc. Anesthesiology CurrentSince Nov 1, 2022 Accepting new patients
Providence Wa Anesthesia Services, P.C. Anesthesiology CurrentSince Oct 27, 2022 Accepting new patients
Darin Rentz DO PC Anesthesiology CurrentSince May 1, 2022 Accepting new patients
Franciscan Medical Group CurrentSince Nov 1, 2023 Accepting new patients
Public Hospital District No 2 Skagit County Washington Current Accepting new patients
Premier Anesthesia of California, PC Anesthesiology CurrentSince Sep 1, 2022 Accepting new patients
Cep America - Anesthesia, PC Anesthesiology Current Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Jun 15, 2025 Accepting new patients
John Muir Trauma Physicians Billing Service Anesthesiology CurrentSince Jan 21, 2026 Accepting new patients
Nicholas S Muff MD PS Past Accepting new patients

Locations

600 N Highland Springs Ave
Banning, CA 92220
Phone (833) 443-6287

2540 East St
Concord, CA 94520
Phone (925) 674-2228

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

1000 Trancas St
Napa, CA 94558
Phone (707) 226-2901

350 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-5500

2425 Samaritan Dr
San Jose, CA 95124
Phone (408) 354-2114

6001 Norris Canyon Rd
San Ramon, CA 94583
Phone (925) 275-8273

1165 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 525-5300

3325 Chanate Rd
Santa Rosa, CA 95404
Phone (707) 576-4000

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

1211 24th St
Anacortes, WA 98221
Phone (360) 293-3181

1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413

1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333

1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

Interoperability endpoints

  • Direct secure messaging: jkotlarczyk649444@hisp.ehr.sutterhealth.org

Organizations & group practices 18

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.

View all 18

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": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1972661296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "city": "COUPEVILLE",
            "state": "WA",
            "postal_code": "982390189",
            "telephone_number": "360-678-4071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 24TH ST",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982212562",
            "telephone_number": "360-293-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTLARCZYK",
        "first_name": "JAROSLAW",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NM",
            "license": "MD2006-0737",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "45127",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "C53430",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "MD33166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BS",
            "identifier": "0114KO",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8212029",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anacortes, WA

Sources for this page

Verify at the official NPI Registry.