Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Jack Andrew Kotecki, MD

Individual provider Internal Medicine Physician · NPI 1689201360

Jack Andrew Kotecki, MD practises Internal Medicine in Robbinsdale, Minnesota. Graduated from University of Wisconsin School of Medicine in 2020, 6 years ago. Practices with North Memorial Health Care, a 506-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
6
Trained at
University of Wisconsin School of Medicine
Licensed in
MN
In the registry since
2020
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

3300 Oakdale Ave N
Robbinsdale, MN 55422-2926
Phone: (763) 520-5200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 75814 (MN)

Record details

NPI number1689201360
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 24, 2020
Last updated in NPPESOctober 18, 2024
Certification dateOctober 18, 2024

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice North Memorial Health Care — 506 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients31
Services billed 67 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at North Memorial Health Care

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 506 clinicians in the practice; 12 are shown here.

Other providers in Robbinsdale