Viktor Kotlyar, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

039147 Issued in CT

Practice address

Cedarcrest Hospital 525 Russell Road
Human Resources
Newington, CT 06111

Phone

(860) 666-7621

Fax

(860) 594-4900

NPI assigned

Oct 18, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in CT

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

Psychiatry

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

State of ConnecticutGroup PAC ID 8022915677, 267 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• State of Connecticut

  dba Connecticut Valley Hospital

  • Psychiatric Hospital
  • Middletown, CT
  • NPI 1245256247
  Medicare reassignment Care Compare group NPD
• State of Connecticut

  dba Department of Veterans' Affairs, Veterans Home

  • Skilled Nursing Facility
  • Rocky Hill, CT
  • NPI 1205951662
  NPD

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982785341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CEDARCREST HOSPITAL 525 RUSSELL ROAD",
            "address_2": "HUMAN RESOURCES",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "06111",
            "telephone_number": "860-666-7621",
            "fax_number": "860-594-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CEDARCREST HOSPITAL 525 RUSSELL ROAD",
            "address_2": "HUMAN RESOURCES",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "06111",
            "telephone_number": "860-666-7621",
            "fax_number": "860-594-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTLYAR",
        "first_name": "VIKTOR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "039147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Voisine Kloze, PHARM.D.
• Alicia Marie Kolacz, APRN
• Marcus Korcz, MSW, LMSW
• Jens Antoni Korgaard, D.C
• Julian Koruni, PHARMD
• Kpeye LLC (The Eyeglass Place)
• Doreen Marie Krupp, M.ED.
• Lucyna Kudrin
• Catherine Kulis-Robitaille, PHARM.D.
• Neha Kulkarni, MD

• Psychiatry Physician in Newington, CT
• Providers in Newington, CT by specialty
• Psychiatry Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.