Individual provider

Jessica Kotlyarov, M.D.

Internal Medicine Physician Medicare enrolled

Jessica Kotlyarov, M.D. is an Internal Medicine Physician in Boynton Beach, FL, registered under NPI 1629323613.

Getting there

The practice address on file is 9655 BOYNTON BEACH BLVD, Boynton Beach, FL 33472. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

9655 BOYNTON BEACH BLVD, Boynton Beach, FL 33472 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
26098 MS Internal Medicine Physician
ME164861 FL Internal Medicine Physician primary

Licences are recorded in 2 states: MS, FL. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Internal Medicine
PAC ID
0547510307
Enrollment ID
I20250409002053

Medicare enrolment is recorded as approved under the provider type Practitioner - Internal Medicine. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Florida and Mississippi. The practice address on file is in Boynton Beach, FL, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

FL Florida practice address
Licence
ME164861
Specialty
Internal Medicine Physician
Verify with the FL board →
MS Mississippi
Licence
26098
Specialty
Internal Medicine Physician
Verify with the MS board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Internal Medicine covers

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. NUCC Health Care Provider Taxonomy, code 207R00000X
Allopathic & Osteopathic Physicians Internal Medicine

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207R00000X Internal Medicine Physician 26098 MS
207R00000X Internal Medicine Physician ME164861 FL primary

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1629323613 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJul 17, 2012
Last updatedMar 26, 2025
StatusActive
Sole proprietorNo
GenderFemale
CredentialM.D.
Practice address 9655 BOYNTON BEACH BLVD
Boynton Beach, FL 33472
(561) 336-7000
Mailing address 1295 NE 5TH AVE
Boca Raton, FL 33432
This record was updated on Mar 26, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1629323613 passes the NPI check digit test The final digit 3 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 6 2 9 3 2 3 6 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 6 4 9 6 2 6 6 2

Sum = 67 · next multiple of 10 = 70 · check digit = 3 · actual last digit = 3

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1629323613?
NPI 1629323613 is the National Provider Identifier assigned to Jessica Kotlyarov, M.D. in Boynton Beach, FL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Internal Medicine Physician cover?
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive…
How do I contact Jessica Kotlyarov, M.D.?
The phone number on file with NPPES is (561) 336-7000, last updated Mar 26, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Jessica Kotlyarov, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1629323613 a valid number?
Yes. 1629323613 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.