Active NPI
Michael Andrew Cotarla, D.O.
- Emergency Medicine Physician
- Lebanon, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- OS020391
- Practice address
- 252 S 4TH St
Lebanon, PA 17042-6111 - Phone
- (717) 270-7688
- Fax
- (717) 270-3790
- NPI assigned
- Mar 30, 2012
- Last updated
- Feb 26, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | OS020391 | PA | Primary |
| Emergency Medicine Physician | 207P00000X | 5101019848 | MI |
Addresses
Primary practice location
252 S 4TH St
Lebanon, PA 17042-6111
Mailing address
601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405
Other practice location 1
1 Ford Pl
Suite 2E
Detroit, MI 48202-3450
Phone (313) 874-4691
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Michigan State University College of Osteopathic Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
252 S 4TH St
Lebanon, PA 17042-6111
Phone (717) 270-7500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101019848 | MI | MD | Emergency Medicine Physician |
| OS020391 | PA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Care Services of Pennsylvania, P.C. | Emergency Medicine | Current | Accepting new patients |
| Emergency Care Services of Pennsylvania, P.C. | Emergency Medicine | Current | Accepting new patients |
| The Good Samaritan Hospital of Lebanon, Pennsylvania | Emergency Medicine | Current | Accepting new patients |
Locations
252 S 4th St
Lebanon, PA 17042
Phone (717) 270-7500
601 Memory Ln
York, PA 17402
Phone (717) 851-6670
Interoperability endpoints
- mcotarla241742@wellspan.direct-ci.com
Organizations & group practices 3
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.
-
dba WellSpan Good Samaritan Hospital
- Emergency Medicine Physician
- Lebanon, PA
- NPI 1730754284
-
- Emergency Medicine Physician
- Langhorne, PA
- NPI 1114955010
-
- Emergency Medicine Physician
- Wilkes Barre, PA
- NPI 1235374927
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba WellSpan Good Samaritan Hospital
- Ambulatory Surgical Clinic/Center
- Lebanon, PA
- NPI 1205902343
Hospital
-
dba WellSpan Good Samaritan Hospital
- General Acute Care Hospital
- Lebanon, PA
- NPI 1407928500
-
dba WellSpan Good Samaritan Hospital
- Emergency Medicine Physician
- Lebanon, PA
- NPI 1730754284
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740528000000",
"number": "1972879278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 MEMORY LN",
"city": "YORK",
"state": "PA",
"postal_code": "174022231",
"telephone_number": "717-851-1405",
"fax_number": "717-851-6969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "252 S 4TH ST",
"city": "LEBANON",
"state": "PA",
"postal_code": "170426111",
"telephone_number": "717-270-7688",
"fax_number": "717-270-3790"
}
],
"practiceLocations": [
{
"address_1": "1 Ford Pl",
"address_2": "Suite 2E",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482023450",
"country_code": "US",
"telephone_number": "313-874-4691",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COTARLA",
"first_name": "MICHAEL",
"middle_name": "ANDREW",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-30",
"last_updated": "2025-02-26",
"certification_date": "2025-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "OS020391",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "5101019848",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.