THOMAS E KOTTKE MD
NPI 1255307617
Internal Medicine - Cardiovascular Disease in St Paul, MN

NPI Status: Active since February 27, 2006

Contact Information

640 JACKSON STREET
MC 11102H
ST PAUL, MN
ZIP 55101
Phone: (651) 254-5175
Fax: (651) 254-1603

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  • Individual
  • Male
  • Internal Medicine
  • Cardiovascular Disease
  • PECOS Enrolled

About THOMAS KOTTKE

This page provides the complete NPI Profile along with additional information for Thomas Kottke, an internist established in St Paul, Minnesota with a medical specialization in Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1255307617 assigned on February 2006. The practitioner's primary taxonomy code is 207RC0000X with license number 24324 (MN). The provider is registered as an individual and his NPI record was last updated 17 years ago.

NPI
1255307617
Provider Name
THOMAS E KOTTKE MD
Gender
Male
Entity Type
Individual
Location Address
640 JACKSON STREET MC 11102H ST PAUL, MN 55101
Location Phone
(651) 254-5175
Location Fax
(651) 254-1603
Mailing Address
640 JACKSON ST MAIL STOP 11102H SAINT PAUL, MN 55101
Mailing Phone
(651) 254-5175
Mailing Fax
(651) 254-1603
Is Sole Proprietor?
No
Enumeration Date
02-27-2006
Last Update Date
05-12-2008
Code Navigator

An internist like Thomas Kottke is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Cardiovascular Disease

Taxonomy Code
207RC0000X
Type
Allopathic & Osteopathic Physicians
License No.
24324
License State
MN
Taxonomy Description
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207RC0000XAllopathic & Osteopathic Physicians

Internal Medicine
Cardiovascular Disease

47187-0Z0 (WI)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
060001881MEDICARE ID-TYPE UNSPECIFIED (04) 
D48719MEDICARE UPIN (02) 
363773500MEDICAID (05)MN 

Medicare Participation & PECOS Enrollment Status

Thomas Kottke is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 55101 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $127.61
  • Minimum New Patient Price $56
  • Maximum New Patient Price $168.28
  • Average New Patient Copayment $31.9
  • Minimum New Patient Copayment $14
  • Maximum New Patient Copayment $42.07

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $69.74
  • Minimum Established Patient Price $18.32
  • Maximum Established Patient Price $138.04
  • Average Established Patient Copayment $17.43
  • Minimum Established Patient Copayment $4.58
  • Maximum Established Patient Copayment $34.51

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1255307617
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22105601462
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 6 + 0 + 1 + 4 + 6 + 2 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1255307617 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1093786469 MOHAMED A HAGI ADEN MD
Individual
Internal Medicine640 JACKSON STREET
ST PAUL, MN 55101
(123) 123-1234
1730151911 GEORGE P DAWSON MD
Individual
Psychiatry & Neurology (Psychiatry)640 JACKSON STREET MAIL STOP 11303A
ST PAUL, MN 55101
(651) 254-4786
1215900782 PENNY L KROGMANN CNS
Individual
Clinical Nurse Specialist640 JACKSON STREET MAIL STOP 11303A
ST PAUL, MN 55101
(651) 254-4786
1659344919 JOHN M KELROY MA LP
Individual
Psychologist (Clinical)640 JACKSON STREET MAIL STOP 11303A
ST PAUL, MN 55101
(651) 254-4786
1568435410 ZENA MA KHALIL MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)640 JACKSON STREET MC 11103E
ST PAUL, MN 55101
(651) 254-4786
1659345445 MARK D ERPELDING MD
Individual
Internal Medicine640 JACKSON STREET
ST PAUL, MN 55101
(952) 883-6181
1144294091 CAROL E NOVAK MD
Individual
Psychiatry & Neurology (Psychiatry)640 JACKSON STREET MAIL STOP 11303A
ST PAUL, MN 55101
(651) 254-4786
1699740233 KARIN JEAN LARSON CNM
Individual
Advanced Practice Midwife640 JACKSON STREET MC 11503H
ST PAUL, MN 55101
(651) 254-1025
1205801222 TODD J MORRIS MD
Individual
Surgery640 JACKSON STREET MAIL STOP 11101E
ST PAUL, MN 55101
(651) 254-4870
1598730533 KAREN A QUADAY MD
Individual
Emergency Medicine (Hospice and Palliative Medicine)640 JACKSON STREET MC 11102F
ST PAUL, MN 55101
(651) 254-3456
1609843093 DAVID H AHRENHOLZ MD
Individual
Surgery640 JACKSON STREET MAIL STOP 11101E
ST PAUL, MN 55101
(651) 254-4870
1033186101 RALPH J FRASCONE MD
Individual
Emergency Medicine640 JACKSON STREET MC11102F
ST PAUL, MN 55101
(651) 254-3456
1881661890 MIRIAM K MCCREARY MD
Individual
Obstetrics & Gynecology640 JACKSON STREET MC 11503H
ST PAUL, MN 55101
(651) 254-1025
1811966757 ROBERT K KNOPP MD
Individual
Emergency Medicine640 JACKSON STREET MC 11102F
ST PAUL, MN 55101
(651) 254-3456
1922077825 MAUREEN MERRIAM CRNA
Individual
Nurse Anesthetist, Certified Registered640 JACKSON STREET MAIL STOP 11503P
ST PAUL, MN 55101
(651) 254-3456
1619946845 ROBIN G KRIEDEMAN NNP
Individual
Nurse Practitioner640 JACKSON STREET
ST PAUL, MN 55101
(651) 254-3456
1992764963 FRANCIS J BENFANTE PA
Individual
Physician Assistant640 JACKSON STREET MAIL STOP 11101E
ST PAUL, MN 55101
(651) 254-4870
1659331957 MERRI MOODY CRNA
Individual
Nurse Anesthetist, Certified Registered640 JACKSON STREET MAIL STOP 11503P
ST PAUL, MN 55101
(651) 254-3456
1932161908 ALISON G BRISBIN CRNA
Individual
Nurse Anesthetist, Certified Registered640 JACKSON STREET MAIL STOP 11503P
ST PAUL, MN 55101
(651) 254-3456
1467417196 MILTON GREEN CRNA
Individual
Nurse Anesthetist, Certified Registered640 JACKSON STREET MAIL STOP 11503P
ST PAUL, MN 55101
(651) 254-3456

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255307617, enumerated in the NPI registry as an "individual" on February 27, 2006

The provider is located at 640 Jackson Street Mc 11102h St Paul, Mn 55101 and the phone number is (651) 254-5175

The provider's speciality is Internal Medicine with taxonomy code 207RC0000X with a focus in Cardiovascular Disease

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $127.61 with an average copayment of $31.9 for new patient appointments. Established patients should expect a typical charge of $69.74 and an average copayment of 17.43. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on February 27, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.