MR. EDUARD VOLFOVITCH KOTLYAROV MD
NPI 1851348247
Radiology - Diagnostic Radiology in Lapeer, MI

Active since May 30, 2006PECOS Enrolled
1375 N MAIN ST, LAPEER, MI 48446(810) 667-5500 Get Directions Write a Review

NPPES record last updated: February 6, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Eduard Volfovitch Kotlyarov Md NPPES

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

MR. EDUARD VOLFOVITCH KOTLYAROV MD (NPI 1851348247) is an individual diagnostic radiology provider in Lapeer, Michigan, licensed in Michigan (4301061744) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851348247
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameMR. EDUARD VOLFOVITCH KOTLYAROVCredential: MD
Location Address1375 N MAIN STLapeer, MI 48446-1350
Mailing AddressPo Box 32627Detroit, MI 48232-0627 · (866) 744-1452 · Fax (586) 412-4101
Sole ProprietorNo
Enumeration DateMay 30, 2006
Last NPPES UpdateFebruary 6, 2013
NPI 1851348247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in MI · 4301061744 Licensed in MD · D0026059 Licensed in VA · 0101032700 Licensed in DC · MD11451
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · Nuclear RadiologyTaxonomy 2085N0904X · License 0101032700 (VA), D0026059 (MD), 4301061744 (MI), MD11451 (DC)
1375 N MAIN ST, Lapeer, MI 48446

Other Identifiers 9

Medicaid2965193MI
Medicare UPINC88826
OtherCA5318MI · Medicare Rr Group Pin
Other3006399421MI · Bcbs Pin #
Medicare ID-Type Unspecified0D46002015MI · Individual #
Medicare PIN0F36125014MI
Other310D460020MI · Bcbs Group Pin
Medicaid2965228MI
Other300049506MI · Rrmc

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Eduard Volfovitch Kotlyarov Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48446 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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.

Social Worker (Clinical)
1375 N MAIN ST
LAPEER, MI 48446
Psychologist (Clinical)
1375 N MAIN ST
LAPEER, MI 48446
Occupational Therapist
1375 N MAIN ST
LAPEER, MI 48446
Nurse Practitioner (Family)
1375 N MAIN ST
LAPEER, MI 48446
Nurse Practitioner (Psychiatric/Mental Health)
1375 N MAIN ST
LAPEER, MI 48446
Surgery
1375 N MAIN ST
LAPEER, MI 48446
Physician Assistant (Surgical)
1375 N MAIN ST
LAPEER, MI 48446
Physician Assistant
1375 N MAIN ST, TRAUMA SURGERY DEPARTMENT
LAPEER, MI 48446

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 Eduard Kotlyarov's NPI number?

The NPI number for Eduard Kotlyarov is 1851348247. It was assigned to this individual provider in the NPPES registry on May 30, 2006.

Where is Eduard Kotlyarov located?

Eduard Kotlyarov practices at 1375 N Main St, Lapeer, MI 48446. The listed phone number is (810) 667-5500.

What is Eduard Kotlyarov's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Eduard Kotlyarov enrolled in Medicare?

Yes. Eduard Kotlyarov is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Eduard Kotlyarov was last updated on February 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.