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ILYA A KHOTIMSKY M.D.
NPI 1245563329
Anesthesiology in Fond Du Lac, WI

Active since September 08, 2009PECOS EnrolledAccepts Medicare Assignment
82.39/100
CMS Quality Rating
430 E DIVISION ST, FOND DU LAC, WI 54935(920) 929-2300 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ilya A Khotimsky M.d. NPPES

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

ILYA A KHOTIMSKY M.D. (NPI 1245563329) is an individual anesthesiology provider in Fond Du Lac, Wisconsin, licensed in Wisconsin (56854) and active in the NPI registry since September 2009. He is enrolled in Medicare PECOS, is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1245563329
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameILYA A KHOTIMSKYCredential: M.D.
Location Address430 E DIVISION STFond Du Lac, WI 54935-4560
Mailing Address420 E Division StFond Du Lac, WI 54935-4560 · (929) 926-8340
Phone(920) 929-2300
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateSeptember 8, 2009
Last NPPES UpdateDecember 30, 2021
NPPES CertifiedDecember 30, 2021
✔ NPI 1245563329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Licenses✔ Licensed in WI · 56854✔ Licensed in WI · 56854-20
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.
Also ListedAnesthesiology · Critical Care MedicineTaxonomy 207LC0200X · License 56854-20 (WI)
430 E DIVISION ST, Fond Du Lac, WI 54935
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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 and accepts Medicare assignment

Ilya A Khotimsky M.d. 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 ID9032333414
PECOS Enrollment IDI20140605001530
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.

Areas of Expertise CMS Part B claims 3

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.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
12 services12 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
11 services11 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520051
Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee County
Emergency services Birthing friendly

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520136
Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.88
Promoting Interoperability81
Improvement Activities40
Cost74.38

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.

CLAIRE ELIZABETH KRIZMAN
Counselor (Mental Health)
430 E DIVISION ST
FOND DU LAC, WI 54935
Fond Du Lac County (310) 880-8864
MICHAEL FABER PHARMD
Pharmacist (Pharmacotherapy)
430 E DIVISION ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 926-4664
JACQUELINE S LEMMENES CST
Specialist/Technologist, Other
430 E DIVISION ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 929-2300
ANN M CAPPELLARI M.D.
Emergency Medicine
430 E DIVISION ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 929-2300
KERRY A WINGET SLP
Speech-Language Pathologist
430 E DIVISION ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 923-5378
BALVINDAR S SAREEN MD
Internal Medicine
430 E DIVISION ST
FOND DU LAC, WI 54935
Fond Du Lac County (315) 637-7800
CHRISTY CHANG APNP
Nurse Practitioner
430 E DIVISION ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 926-8200
MARY LAUSCH ARRIGONI CRNA
Nurse Anesthetist, Certified Registered
430 E DIVISION ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 926-5942

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 Ilya Khotimsky's NPI number?

The NPI number for Ilya Khotimsky is 1245563329. It was assigned to this individual provider in the NPPES registry on September 8, 2009.

Where is Ilya Khotimsky located?

Ilya Khotimsky practices at 430 E Division St, Fond Du Lac, WI 54935. The listed phone number is (920) 929-2300.

What is Ilya Khotimsky's specialty?

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

Is Ilya Khotimsky enrolled in Medicare?

Yes. Ilya Khotimsky 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.

Is Ilya Khotimsky affiliated with any hospitals?

According to CMS data, Ilya Khotimsky is affiliated with Ascension Columbia St Mary's Hospital Milwaukee and Ascension SE Wisconsin Hospital.

When was this NPI record last updated?

The NPPES record for Ilya Khotimsky was last updated on December 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.