Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Richard M Kootman, MD, PC

Individual provider Specialist · NPI 1700896149

Dr. Richard M Kootman, MD, PC is an Ophthalmology in Peoria, Arizona. Graduated from Louisiana State University School of Medicine in New Orleans in 1984, 42 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
42
Trained at
Louisiana State University School of Medicine in New Orleans
Licensed in
AZ
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

13943 N 91st Ave Bldg G
Peoria, AZ 85381-3687
Phone: (623) 561-1995
Fax: (623) 561-2446
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 19610 (AZ)

Record details

NPI number1700896149
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , PC
Sole proprietorYes
NPI enumeratedAugust 8, 2006
Last updated in NPPESDecember 5, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated 1984 (42 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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