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ETHAN KOTLOFF MD
NPI 1033796586
Student in an Organized Health Care Education/Training Program in Baltimore, MD

Active since March 29, 2021PECOS Enrolled
22 S GREENE ST RM N3E09, BALTIMORE, MD 21201(410) 328-6110 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ethan Kotloff Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHAN KOTLOFF MD (NPI 1033796586) is an individual student in an organized health care education/training program in Baltimore, Maryland and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033796586
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameETHAN KOTLOFFCredential: MD
Location Address22 S GREENE ST RM N3E09Baltimore, MD 21201-1544
Mailing Address22 S Greene St Rm N3e09Baltimore, MD 21201-1544 · (410) 328-6110
Phone(410) 328-6110
Sole ProprietorNo
Enumeration DateMarch 29, 2021
NPPES CertifiedMarch 29, 2021
✔ NPI 1033796586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

22 S GREENE ST RM N3E09, Baltimore, MD 21201
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ethan Kotloff Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$70.21 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier12 claims12 services$60.75 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KATHERINE MICHAELA PANAGOS MD
Student in an Organized Health Care Education/Training Program
22 S GREENE ST RM N3E09
BALTIMORE, MD 21201
Baltimore City (410) 328-6110
NICHOLAS ANTHONY MUSACCHIO
Student in an Organized Health Care Education/Training Program
22 S GREENE ST RM N3E09
BALTIMORE, MD 21201
Baltimore City (410) 328-6110
RENUKA MEENU RAMCHANDRAN MD
Student in an Organized Health Care Education/Training Program
22 S GREENE ST RM N3E09
BALTIMORE, MD 21201
Baltimore City (410) 328-6110
ALEX PU MD
Student in an Organized Health Care Education/Training Program
22 S GREENE ST RM N3E09
BALTIMORE, MD 21201
Baltimore City (410) 328-6110
MEGAN BURIN
Student in an Organized Health Care Education/Training Program
22 S GREENE ST RM N3E09
BALTIMORE, MD 21201
Baltimore City (410) 328-6110
ROHAN SINGH MD
Student in an Organized Health Care Education/Training Program
22 S GREENE ST RM N3E09
BALTIMORE, MD 21201
Baltimore City (410) 328-6110
BRADLEY RYBINSKI
Student in an Organized Health Care Education/Training Program
22 S GREENE ST RM N3E09
BALTIMORE, MD 21201
Baltimore City (410) 328-6110
NIDHI ELSA MATHEW MD
Student in an Organized Health Care Education/Training Program
22 S GREENE ST RM N3E09
BALTIMORE, MD 21201
Baltimore City (410) 328-6610

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Kotloff's NPI number?

The NPI number for Ethan Kotloff is 1033796586. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Where is Ethan Kotloff located?

Ethan Kotloff practices at 22 S Greene St Rm N3e09, Baltimore, MD 21201. The listed phone number is (410) 328-6110.

What is Ethan Kotloff's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ethan Kotloff enrolled in Medicare?

Yes. Ethan Kotloff is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ethan Kotloff was last updated on March 29, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.