MIKHAIL KOTLOV M.D. – NPI #1891840872
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Health Care Provider Taxonomy Code for Internal Medicine

MIKHAIL KOTLOV is a physician located in PARAMUS, NJ. NPPES has assigned the NPI number 1891840872 to MIKHAIL KOTLOV on January 23, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was previously updated about 3 years ago on Oct 04, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MIKHAIL KOTLOV below.

NPI Profile for
MIKHAIL KOTLOV

NPI Number
1891840872
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MIKHAIL KOTLOV
Credentials
M.D.
Primary location
1 KALISA WAY
SUITE 210
PARAMUS, NJ 07652
Phone: (201) 447-0013 Fax: (201) 255-4515
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Jul 26, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)		 NJ 25MA08410200
207R00000X
- Internal Medicine		 NY 238660

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY - Graduated 2003
Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
MIKHAIL KOTLOV is affiliated with the following medical group(s):
  • HOSPITAL
    • HACKENSACK UNIVERSITY MEDICAL CENTER
      30 PROSPECT AVE
      HACKENSACK, NJ 07601
    • VALLEY HOSPITAL
      223 N VAN DIEN AVENUE
      RIDGEWOOD, NJ 07450
  • DIALYSIS FACILITY
    • DAVITA RADBURN DIALYSIS
      15-00 POLLITT DRIVE
      FAIR LAWN, NJ 07410

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