DIANA KOLTOVSKI DO
NPI 1225616683
Family Medicine in Forest Hills, NY

Q: What is Diana Koltovski's NPI number?

The NPI number for Diana Koltovski is 1225616683. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Q: What is Diana Koltovski's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Diana Koltovski was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.

Active since March 29, 2021PECOS EnrolledAccepts Medicare Assignment

96-10 METROPOLITAN AVE, FOREST HILLS, NY 11375(718) 459-0400(718) 670-6479 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 22, 2024, Mar 29, 2021 (2 updates tracked since 2021).

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About Diana Koltovski Do NPPES

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

DIANA KOLTOVSKI DO (NPI 1225616683) is an individual family medicine provider in Forest Hills, New York, licensed in New York (332550) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Far Rockaway, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1225616683

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDIANA KOLTOVSKICredential: DO

Location Address96-10 METROPOLITAN AVEForest Hills, NY 11375-6625

Mailing Address55 Water St Fl 2New York, NY 10041-0010 · (646) 680-2888 · Fax (516) 542-5556

Phone(718) 459-0400

Fax(718) 670-6479

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateMarch 29, 2021

Last NPPES UpdateOctober 2, 20252 updates tracked since enumeration

NPPES CertifiedOctober 2, 2025

✔ NPI 1225616683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NY · 332550

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

96-10 METROPOLITAN AVE, Forest Hills, NY 11375

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Secondary Practice Location 1

Location 1327 Beach 19th StFar Rockaway, NY 11691-4423 · Phone (718) 869-7108

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Diana Koltovski Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082155791

PECOS Enrollment IDI20240923000283

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.

Medicare Billing Reassignment

Medicare enrollment records show Diana Koltovski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Advantagecare Physicians PC

7.0 mi

General Practice

215 E 95TH ST
New York, NY 10128

Reassigned Medicare billing, New York enrollment
724 clinicians in this Medicare group

NPI 1336578772 (212) 996-8000

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

28 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11375 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$104.17 typical visit price

range $67.00 – $201.98

Typical copayment $26.04 (range $16.75 – $50.49)

Most-billed visit code 99203

Established Patient

$116.96 typical visit price

range $21.62 – $163.52

Typical copayment $29.24 (range $5.40 – $40.88)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

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

AIDA MUNAROVA DO

Family Medicine