Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eric Russell Kotal, MD

Individual provider Emergency Medicine Physician · NPI 1194036368

Eric Russell Kotal, MD is an Emergency Medicine in Beaver Dam, Wisconsin. Graduated from Southern Illinois University School of Medicine in 2010, 16 years ago. Practices with Ihc Beaver Dam Emergency Physicians, LLC, a 24-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
16
Trained at
Southern Illinois University School of Medicine
Licensed in
MI
In the registry since
2010
Specialties on file
2
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

707 S University Ave
Beaver Dam, WI 53916-3027
Phone: (920) 887-6606
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 4301097060 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 4301097060 (MI)

Record details

NPI number1194036368
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 23, 2010
Last updated in NPPESApril 21, 2017
Mailing address100 McIntosh Dr, Beaver Dam, WI 53916-9255

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Ihc Beaver Dam Emergency Physicians, Llc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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