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JACK ANDREW KOTECKI MD
NPI 1689201360
Internal Medicine in Robbinsdale, MN

Active since March 24, 2020PECOS EnrolledAccepts Medicare Assignment
3300 OAKDALE AVE N, ROBBINSDALE, MN 55422(763) 520-5200 Get Directions Write a Review

NPPES record last updated: October 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jack Andrew Kotecki Md NPPES

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

JACK ANDREW KOTECKI MD (NPI 1689201360) is an individual internal medicine provider in Robbinsdale, Minnesota, licensed in Minnesota (75814) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with North Memorial Health Hospital, and is a graduate of University Of Wisconsin School Of Medicine (2020).

NPPES Registry Identity

NPI1689201360
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJACK ANDREW KOTECKICredential: MD
Location Address3300 OAKDALE AVE NRobbinsdale, MN 55422-2926
Mailing Address420 Delaware St SeMinneapolis, MN 55455-0341 · (612) 624-0990
Phone(763) 520-5200
Sole ProprietorYes
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2020
Enumeration DateMarch 24, 2020
Last NPPES UpdateOctober 18, 2024
NPPES CertifiedOctober 18, 2024
✔ NPI 1689201360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MN · 75814
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3300 OAKDALE AVE N, Robbinsdale, MN 55422
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

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

Jack Andrew Kotecki 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.

PECOS PAC ID9739502899
PECOS Enrollment IDI20240830003342
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 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
32 services15 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

North Memorial Health Hospital

Acute Care Hospitals · Robbinsdale, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240001
Location3300 Oakdale NorthRobbinsdale, MN 55422 · Hennepin County
Emergency services Birthing friendly

Maple Grove Hospital

Acute Care Hospitals · Maple Grove, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240214
Location9875 Hospital DriveMaple Grove, MN 55369 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55422 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 20

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

MICHAELA ANNE MCLAIN FNP
Nurse Practitioner (Family)
3300 OAKDALE AVE N
ROBBINSDALE, MN 55422
Hennepin County (763) 520-5110
ALYSSA WARDEN DO
Physical Medicine & Rehabilitation
3300 OAKDALE AVE N
ROBBINSDALE, MN 55422
Hennepin County (763) 520-5200
LAURA WRIGHTWOOD APRN, CNP
Nurse Practitioner (Gerontology)
3300 OAKDALE AVE N
ROBBINSDALE, MN 55422
Hennepin County (763) 520-5200
WILLIAM NATHAN LISBERG MD
Radiology (Diagnostic Radiology)
3300 OAKDALE AVE N
ROBBINSDALE, MN 55422
Hennepin County (763) 559-2171
DR. LAURA L SCHMITZ MD
Pathology (Anatomic Pathology & Clinical Pathology)
3300 OAKDALE AVE N
MINNEAPOLIS, MN 55422
Hennepin County (763) 581-4150
DR. MARY DELLING MCLAURIN MD
Internal Medicine (Cardiovascular Disease)
3300 OAKDALE AVE N, #200
MINNEAPOLIS, MN 55422
Hennepin County (763) 520-2001
DR. ALOK MAHESHWARI MD
Internal Medicine (Interventional Cardiology)
3300 OAKDALE AVE N
ROBBINSDALE, MN 55422
Hennepin County (763) 581-5400
MS. TINA MARIE ALLENBURG NURSE PRACTITIONER
Nurse Practitioner
3300 OAKDALE AVE N, SUITE 200
MINNEAPOLIS, MN 55422
Hennepin County (763) 520-2000

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 Jack Kotecki's NPI number?

The NPI number for Jack Kotecki is 1689201360. It was assigned to this individual provider in the NPPES registry on March 24, 2020.

Where is Jack Kotecki located?

Jack Kotecki practices at 3300 Oakdale Ave N, Robbinsdale, MN 55422. The listed phone number is (763) 520-5200.

What is Jack Kotecki's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jack Kotecki enrolled in Medicare?

Yes. Jack Kotecki 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.

What insurance does Jack Kotecki accept?

Health plans from Medica list Jack Kotecki as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jack Kotecki affiliated with any hospitals?

According to CMS data, Jack Kotecki is affiliated with North Memorial Health Hospital and Maple Grove Hospital.

When was this NPI record last updated?

The NPPES record for Jack Kotecki was last updated on October 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.