MARIE KOTENKO (MD) – Emergency Medical Services (Emergency Medicine) Physician, NPI 1104355429

MARIE KOTENKO (MD) is a healthcare provider. based in Royal oak, Michigan. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 4301112188 (MI). The NPI Number for MARIE KOTENKO (MD) is 1104355429

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
MARIE KOTENKO (MD)
NPI
1104355429
Phone
(248) 898-2001
Address
3601 W 13 Mile Rd
Enumeration Date
9 June 2017
Last Update Date
30 August 2023

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
5613957100
Graduation Year
2017 (9 years ago)
PAC ID
9436427416
Group Practice PAC ID
1557259975
Professional Enrollment ID
I20200805001707
Address ID
FL334862304BO800XXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:8State licenses:2Digital endpointsOther names

3,157 EMERGENCY MEDICINE in MI

Provider Addresses for MARIE KOTENKO (MD)

  • 3601 W 13 Mile Rd

    Royal Oak, MI 480736712

    Phone: (248) 898-2001

    Type: Location

  • 5301 S CONGRESS AVE

    ATLANTIS, FL 334621149

    Phone: (561) 548-3836

    Type: Mailing

  • Beaumont Hospital - Royal Oak, 3601, West 13 Mile Road, Royal Oak, Oakland County, Michigan, 48073, United States

    ROYAL OAK, MI 480736712

    Phone: (248) 898-2001

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-08-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200805001707IEmergency MedicineFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making294284$0
99284Emergency department visit with moderate level of medical decision making9896$0
99291Critical care, first 30-74 minutes8886$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only2525$0
99283Emergency department visit with low level of medical decision making1919$0
View full utilization report →

Insurance plans in this area (ZIP 48073)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1557259975View full group profile
NameSpecialtyState
Emergency MedicineNY
Emergency MedicineFL
Emergency MedicineNJ
Emergency MedicineOH
Emergency MedicineNC
Emergency MedicineNY
Emergency MedicineFL
Emergency MedicineOH
Emergency MedicineFL
Emergency MedicineFL

Reviews

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Frequently asked questions

Where can patients find MARIE KOTENKO (MD)'s NPI?
You can confirm MARIE KOTENKO (MD) with NPI 1104355429; it appears in the national provider directory.
Does this profile mean MARIE KOTENKO (MD) is currently active?
Yes — MARIE KOTENKO (MD) appears active in the national provider directory.
What kind of provider is MARIE KOTENKO (MD)?
The page reflects Emergency Medical Services (Emergency Medicine) Physician for MARIE KOTENKO (MD). Clinical services aligned with this taxonomy classification.
Where is MARIE KOTENKO (MD)'s primary listing?
We display Royal Oak, Michigan because that is what the record indicates for MARIE KOTENKO (MD).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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