ELEANOR KOTOV (M.D.) – Emergency Medicine Physician, NPI 1215460894

ELEANOR KOTOV (M.D.) is a healthcare provider. based in West bloomfield, Michigan. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. MD471833 (PA). The NPI Number for ELEANOR KOTOV (M.D.) is 1215460894

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
ELEANOR KOTOV (M.D.)
NPI
1215460894
Phone
(248) 535-1903
Address
6769 APPLE BLOSSOM TRL
Enumeration Date
10 April 2017
Last Update Date
20 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3098334101
Graduation Year
2017 (9 years ago)
PAC ID
0143590877
Group Practice PAC ID
9032615059
Professional Enrollment ID
I20220115000184
Address ID
IL614553313MA525XXSTXX400

Contacts

Secure Messaging
ekotov323766@direct.myadvocateaurora.org
FHIR Endpoint
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness85
Years active:9State licenses:1Other namesUpdated within 12 months

3,157 EMERGENCY MEDICINE in MI

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Provider Addresses for ELEANOR KOTOV (M.D.)

  • 6769, Apple Blossom Trail, West Bloomfield Township, Oakland County, Michigan, 48322, United States

    WEST BLOOMFIELD, MI 483222769

    Phone: (248) 535-1903

    Type: Mailing

  • Detroit Receiving Hospital and University Health Center, 4201, Saint Antoine Street, Medical Center, Midtown, Detroit, Wayne County, Michigan, 48201, United States

    DETROIT, MI 482012153

    Phone: (313) 745-5146

    Type: Location

  • 2320 E 93RD ST

    CHICAGO, IL 606173909

    Phone: (773) 967-5430

    Type: Location

  • 29373 NETWORK PL

    CHICAGO, IL 606731293

    Phone:

    Type: Mailing

  • 350 N WALL ST

    KANKAKEE, IL 609012901

    Phone: (815) 933-1671

    Type: Location

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: 2022-01-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20200917000581IEmergency MedicinePATBD
I20220115000184IEmergency MedicineILTBD

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 making114112$0
99284Emergency department visit with moderate level of medical decision making6159$0
99291Critical care, first 30-74 minutes3936$0
99283Emergency department visit with low level of medical decision making2828$0
View full utilization report →

Insurance plans in this area (ZIP 48322)

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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: 9032615059View full group profile
NameSpecialtyState
Family PracticeCA
Nurse PractitionerIL
Nurse PractitionerMO
Family PracticeCT
Family PracticeIL
Nurse PractitionerIL
Nurse PractitionerIA
Nurse PractitionerIL
Nurse PractitionerIL
Internal Medicine, Emergency MedicineIL

Reviews

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Frequently asked questions

What unique ID ties claims to ELEANOR KOTOV (M.D.)?
NPI 1215460894 is assigned to ELEANOR KOTOV (M.D.) under the national enumeration system.
Does this profile mean ELEANOR KOTOV (M.D.) is currently active?
Yes — ELEANOR KOTOV (M.D.) appears active in the national provider directory.
Can you summarize ELEANOR KOTOV (M.D.)'s specialty in plain language?
Clinically, the directory lists ELEANOR KOTOV (M.D.) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for ELEANOR KOTOV (M.D.)?
The page summarizes West Bloomfield, Michigan for ELEANOR KOTOV (M.D.); expand the address list for detail.
How can I contact ELEANOR KOTOV (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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