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KOTLYAR MEDICAL PC
NPI 1205363454
Anesthesiology in New York, NY

Active since May 18, 2017
369 LEXINGTON AVE RM 800, NEW YORK, NY 10017(631) 264-2030(631) 264-1418 Get Directions Write a Review

NPPES record last updated: October 8, 2019. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 8, 2019, Mar 17, 2018, Oct 17, 2017 and 1 more (4 updates tracked since 2017).

About Kotlyar Medical Pc NPPES

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

KOTLYAR MEDICAL PC (NPI 1205363454) is a healthcare organization registered as an anesthesiology in New York, New York and active in the NPI registry since May 2017. The organization lists Vitaly Kotlyar, Owner, as its authorized official.

NPPES Registry Identity

NPI1205363454
Entity TypeOrganization
Primary Taxonomy207L00000X
Legal Business NameKOTLYAR MEDICAL PC
Location Address369 LEXINGTON AVE RM 800New York, NY 10017-6536
Mailing AddressPo Box 270Massapequa Park, NY 11762-0270 · (631) 264-2035 · Fax (631) 264-1418
Phone(631) 264-2030
Fax(631) 264-1418
Organization SubpartNo
Authorized OfficialVitaly KotlyarOwner · (917) 862-5558
Enumeration DateMay 18, 2017
Last NPPES UpdateOctober 8, 20194 updates tracked since enumeration
✔ NPI 1205363454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in NY · 263221
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
369 LEXINGTON AVE RM 800, New York, NY 10017
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kotlyar Medical Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Kotlyar Medical PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Vitaly Kotlyar, M.D.
Anesthesiology
NPI 1841427747
369 LEXINGTON AVE FL 8
New York, NY 10017
(631) 264-2030
✔ PECOS✔ Accepts MedicareSame address
Daniel Hanono, M.D.
Anesthesiology
NPI 1679708242
145 E 32ND ST SUITE 303
New York, NY 10016
(646) 952-4211
✔ PECOS✔ Accepts Medicare0.4 mi
Robert Kim, M.D.
Anesthesiology
NPI 1992905533
14021 32ND AVE SUITE C1
Flushing, NY 11354
(718) 224-1600
✔ PECOS✔ Accepts Medicare7.9 mi
Bonnie White, M.D.
Anesthesiology
NPI 1689836074
1 HEALTHY WAY
Oceanside, NY 11572
(516) 631-4191
✔ PECOS✔ Accepts Medicare19 mi
Robert Hannum, M.D.
Anesthesiology
NPI 1326400904
757 WESTWOOD PLZ STE 3325
Los Angeles, CA 90095
(310) 825-9111
✔ PECOS✔ Accepts Medicare2,463 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kotlyar Medical PC's NPI number?

The NPI number for Kotlyar Medical PC is 1205363454. It was assigned to this organization in the NPPES registry on May 18, 2017.

Where is Kotlyar Medical PC located?

Kotlyar Medical PC is located at 369 Lexington Ave Rm 800, New York, NY 10017. The listed phone number is (631) 264-2030.

What is Kotlyar Medical PC's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Kotlyar Medical PC enrolled in Medicare?

Yes. Kotlyar Medical PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kotlyar Medical PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Anesthesiology, reassign their Medicare billing to Kotlyar Medical PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kotlyar Medical PC was last updated on October 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.