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

Kevin A. Kotkowski, MD

Individual provider Emergency Medicine Physician · NPI 1336375120

Kevin A. Kotkowski, MD is an Emergency Medicine in Worcester, Massachusetts. Graduated from Tufts University School of Medicine in 2009, 17 years ago. Practices with Umass Memorial Medical Group Inc, a 2,467-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
17
Trained at
Tufts University School of Medicine
Licensed in
MA
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

55 Lake Ave N
Worcester, MA 01655-0002
Phone: (508) 421-1400
Fax: (508) 421-1490
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 249988 (MA)

Record details

NPI number1336375120
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 8, 2009
Last updated in NPPESNovember 23, 2020
Certification dateNovember 23, 2020
Mailing addressPo Box 415348, Boston, MA 02241-5348

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolTUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Umass Memorial Medical Group Inc — 2467 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Worcester