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NPI · 1922090646 · NPPES-sourced

Jack Kotlarz MD

ActivePlastic Surgery within the Head & Neck (Otolaryngology) Physician
NPI Number
1922090646
Type 1 · Individual
Contact
(779) 696-9201
License IL · 036170362
Last Updated
Enumerated
Primary practice addressIL · 61107-2201
1253 N Alpine RdRockford, IL 61107-2201
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About this NPIWhat this record shows.

NPI 1922090646 is registered to Jack Kotlarz MD, a Plastic Surgery within the Head & Neck (Otolaryngology) Physician practising at 1253 N Alpine Rd in Rockford, Illinois. Plastic Surgery within the Head & Neck (Otolaryngology) Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Jack Kotlarz MD has been enumerated in the National Provider Identifier (NPI) registry since 2005.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 4314144FL· Issued by AETNA
  • 7618346003FL· Issued by CIGNA PPO
  • 009900475AL· Issued by MEDICAID ALA
  • 040016528FL· Issued by UHC MCR RR
  • 590 51780AL· Issued by BCBS OF ALA
  • 42544FL· Issued by BCBS OF FLORIDA

Medicaid

Source: NPPES public registry.

Medicare enrollment

This provider holds 4 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Jack Kotlarz MD accepts. To confirm in-network status with your specific health plan, contact Jack Kotlarz MD directly at (779) 696-9201.

Frequently asked

Yes. NPI 1922090646 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Plastic Surgery within the Head & Neck (Otolaryngology) Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (779) 696-9201.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Jack Kotlarz MD is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy207YX0007X
Last updated
Enumerated
StatusActive
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