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MR. KOSSI MAWOULI ZOTOGLO PA-C
NPI 1891202131
Physician Assistant - Surgical in Omaha, NE

Active since January 09, 2018PECOS EnrolledAccepts Medicare Assignment
4101 WOOLWORTH AVE, OMAHA, NE 68105(402) 995-3462 Get Directions Write a Review

NPPES record last updated: December 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 15, 2023, Jan 9, 2018 (2 updates tracked since 2018).

About Mr. Kossi Mawouli Zotoglo Pa-c NPPES

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

MR. KOSSI MAWOULI ZOTOGLO PA-C (NPI 1891202131) is an individual surgical provider in Omaha, Nebraska, licensed in Iowa (090410) and active in the NPI registry since January 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Elkhorn, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1891202131
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. KOSSI MAWOULI ZOTOGLOCredential: PA-C
Location Address4101 WOOLWORTH AVEOmaha, NE 68105-1850
Mailing Address3254 S 72nd AveOmaha, NE 68124-3576 · (402) 681-1036
Phone(402) 995-3462
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 9, 2018
Last NPPES UpdateDecember 15, 20232 updates tracked since enumeration
NPPES CertifiedDecember 15, 2023
✔ NPI 1891202131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in IA · 090410
4101 WOOLWORTH AVE, Omaha, NE 68105
Open in Google Maps ↗

Secondary Practice Location 1

Location 1222 N 192nd StElkhorn, NE 68022-5363 · Phone (402) 390-4111 · Fax (402) 390-4115

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

Mr. Kossi Mawouli Zotoglo Pa-c 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 ID8426413220
PECOS Enrollment IDI20230501001809
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 10

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
214 services26 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
78 services77 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
30 services30 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
29 services29 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
25 services24 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
23 services23 patients

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.

MRS. RUHIYYIH YOLAINE DEHART
Pharmacy Technician
4101 WOOLWORTH AVE
OMAHA, NE 68105
Douglas County (402) 955-5203
CARRIE KUBICEK RN,BSN, OCN
Registered Nurse (Infusion Therapy)
4101 WOOLWORTH AVE
OMAHA, NE 68105
Douglas County (402) 995-5342
DARCY RAE BOGER RN
Registered Nurse (Critical Care Medicine)
4101 WOOLWORTH AVE
OMAHA, NE 68105
Douglas County (402) 995-5151
MS. SHERI LYNN PLUGGE R.D.
Dietitian, Registered
4101 WOOLWORTH AVE
OMAHA, NE 68105
Douglas County (402) 346-8800
RUBEN DARIO PULIDO PH.D.
Psychologist
4101 WOOLWORTH AVE, MAIL CODE 116A1
OMAHA, NE 68105
Douglas County (402) 995-3490
LACEY HOBUS
Social Worker (Clinical)
4101 WOOLWORTH AVE
OMAHA, NE 68105
Douglas County (402) 995-3250
MADALYN JOHNSON
Physician Assistant
4101 WOOLWORTH AVE
OMAHA, NE 68105
Douglas County (402) 995-5253
MRS. DAWNETTE LYNN BREDBERG A-GPCNP, APRN
Nurse Practitioner (Adult Health)
4101 WOOLWORTH AVE
OMAHA, NE 68105
Douglas County (402) 995-5783

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 Kossi Zotoglo's NPI number?

The NPI number for Kossi Zotoglo is 1891202131. It was assigned to this individual provider in the NPPES registry on January 9, 2018.

Where is Kossi Zotoglo located?

Kossi Zotoglo practices at 4101 Woolworth Ave, Omaha, NE 68105. The listed phone number is (402) 995-3462.

What is Kossi Zotoglo's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Kossi Zotoglo enrolled in Medicare?

Yes. Kossi Zotoglo 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 Kossi Zotoglo accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 2 other insurers list Kossi Zotoglo 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.

When was this NPI record last updated?

The NPPES record for Kossi Zotoglo was last updated on December 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.