DR. PAUL WILLIAM KOLTOVICH MD
NPI 1396719027
Internal Medicine in Mount Vernon, NY
About Dr. Paul William Koltovich Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PAUL WILLIAM KOLTOVICH MD (NPI 1396719027) is an individual internal medicine provider in Mount Vernon, New York, licensed in New York (185987-1) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1986).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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
Dr. Paul William Koltovich Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Paul Koltovich reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Yonkers, NY 10704
- Reassigned Medicare billing, New York enrollment
- 27 clinicians in this Medicare group
New City, NY 10956
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Walk In Medical Urgent Care PC
- 9 clinicians in this Medicare group
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 6
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10550 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MOUNT VERNON, NY 10550
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 Paul Koltovich's NPI number?
The NPI number for Paul Koltovich is 1396719027. It was assigned to this individual provider in the NPPES registry on February 17, 2006.
Where is Paul Koltovich located?
Paul Koltovich practices at 12 N 7th Ave, Mount Vernon, NY 10550. The listed phone number is (914) 664-8000.
What is Paul Koltovich's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Paul Koltovich enrolled in Medicare?
Yes. Paul Koltovich 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.
Which organizations bill Medicare for Paul Koltovich's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Paul Koltovich reassigns Medicare benefits to 2 organizations: Throgs Neck Urgent Medical Care PLLC (Yonkers, NY) and Walk In Medical Urgent Care, P.C. (New City, NY). Each 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 Paul Koltovich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Paul Koltovich was last updated on October 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Dr. Paul William Koltovich, MD · NPI 1396719027
Internal Medicine physician in Mount Vernon, New York. Individual provider, active in the CMS NPPES registry since February 17, 2006.
## Identity
- **NPI:** 1396719027 (Entity type: Individual)
- **Enumerated:** February 17, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 185987-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 12 N 7TH AVE, Mount Vernon, NY 10550-2026
- **Phone:** (914) 664-8000 · **Fax:** (914) 664-8015
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Throgs Neck Urgent Medical Care PLLC (NPI 1154684207, Yonkers, NY); Walk In Medical Urgent Care, P.C. (NPI 1306137070, New City, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1986
## Record status
- **NPPES last updated:** October 9, 2007
- **Other identifiers:** Medicare UPIN F20934; Medicaid 01265558 (NY); Medicare PIN 13G851 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1396719027) · Data from the CMS NPPES public registry.