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CODY KOTELKO DO
NPI 1841930542
Student in an Organized Health Care Education/Training Program in Thousand Oaks, CA

Active since March 30, 2022PECOS Enrolled
215 W JANSS RD, THOUSAND OAKS, CA 91360(303) 726-1368 Get Directions Write a Review

NPPES record last updated: March 30, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Cody Kotelko Do NPPES

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

CODY KOTELKO DO (NPI 1841930542) is an individual student in an organized health care education/training program in Thousand Oaks, California and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841930542
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCODY KOTELKOCredential: DO
Location Address215 W JANSS RDThousand Oaks, CA 91360-1847
Mailing Address5750 S Cherry CirGreenwood Village, CO 80121 · (303) 726-1368
Phone(303) 726-1368
Sole ProprietorYes
Enumeration DateMarch 30, 2022
NPPES CertifiedMarch 30, 2022
✔ NPI 1841930542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
215 W JANSS RD, Thousand Oaks, CA 91360
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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 (PECOS)

Cody Kotelko Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 20

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

LOS ROBLES RADIOLOGIC ASSOCIATES
Radiology (Diagnostic Radiology)
215 W JANSS RD
THOUSAND OAKS, CA 91360
Ventura County (054) 972-7278
DR. NUSAYBA MANAL AHMED MD
Student in an Organized Health Care Education/Training Program
215 W JANSS RD
THOUSAND OAKS, CA 91360
Ventura County (805) 852-9229
DANIELLE ASHLEY SHERMAN
Physician Assistant
215 W JANSS RD
THOUSAND OAKS, CA 91360
Ventura County (805) 497-2727
MARIA DUBOVITSKAYA MD
Student in an Organized Health Care Education/Training Program
215 W JANSS RD
THOUSAND OAKS, CA 91360
Ventura County (805) 852-9229
SUKHWINDER SINGH DHILLON
Student in an Organized Health Care Education/Training Program
215 W JANSS RD
THOUSAND OAKS, CA 91360
Ventura County (805) 852-9229
ALEEN SISAKIAN MD
Student in an Organized Health Care Education/Training Program
215 W JANSS RD
THOUSAND OAKS, CA 91360
Ventura County (805) 852-9229
YASH PATIL DO
Student in an Organized Health Care Education/Training Program
215 W JANSS RD
THOUSAND OAKS, CA 91360
Ventura County (805) 852-9229
DR. ERNA M. KWONG M.D.
Anesthesiology
215 W JANSS RD
THOUSAND OAKS, CA 91360
Ventura County (805) 497-2727

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 Cody Kotelko's NPI number?

The NPI number for Cody Kotelko is 1841930542. It was assigned to this individual provider in the NPPES registry on March 30, 2022.

Where is Cody Kotelko located?

Cody Kotelko practices at 215 W Janss Rd, Thousand Oaks, CA 91360. The listed phone number is (303) 726-1368.

What is Cody Kotelko's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Cody Kotelko enrolled in Medicare?

Yes. Cody Kotelko is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Cody Kotelko was last updated on March 30, 2022. 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.