STEPHEN KOTAREK PA
NPI 1235371915
Physician Assistant - Medical in Marysville, CA

Active since March 27, 2009PECOS EnrolledAccepts Medicare Assignment
414 G ST STE 221, MARYSVILLE, CA 95901(916) 733-5090 Get Directions Write a Review

NPPES record last updated: November 25, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stephen Kotarek Pa NPPES

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

STEPHEN KOTAREK PA (NPI 1235371915) is an individual medical provider in Marysville, California, licensed in California (PA19292) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1235371915
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameSTEPHEN KOTAREKCredential: PA
Location Address414 G ST STE 221Marysville, CA 95901-5670
Mailing Address414 G St Ste 221Marysville, CA 95901-5670
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateMarch 27, 2009
Last NPPES UpdateNovember 25, 2019
NPI 1235371915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CA · PA19292
414 G ST STE 221, Marysville, CA 95901

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Stephen Kotarek Pa 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 ID6406099290
PECOS Enrollment IDI20130827000059
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.

Other Providers at the Same Location NPPES 2

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

Internal Medicine (Interventional Cardiology)
414 G ST STE 221
MARYSVILLE, CA 95901
Surgery (Vascular Surgery)
414 G ST STE 221
MARYSVILLE, CA 95901

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 Stephen Kotarek's NPI number?

The NPI number for Stephen Kotarek is 1235371915. It was assigned to this individual provider in the NPPES registry on March 27, 2009.

Where is Stephen Kotarek located?

Stephen Kotarek practices at 414 G St Ste 221, Marysville, CA 95901. The listed phone number is (916) 733-5090.

What is Stephen Kotarek's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Stephen Kotarek enrolled in Medicare?

Yes. Stephen Kotarek is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Stephen Kotarek was last updated on November 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.