Dr. David Sam Kotlyar, M.D.
Internal Medicine, Hematology in Henderson, NV. Individual provider (NPI-1).
NPI number1245527670
StatusActive
Last updated in NPPESFeb 9, 2026
Details
- NPI
- 1245527670
- Entity type
- Individual (NPI-1)
- Name
- Dr. David Sam Kotlyar
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 6, 2011
- Certification date
- Feb 9, 2026
- Last updated
- Feb 9, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MEDICAL ONCOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RH0000X | Internal Medicine, Hematology | 28488 | NV | Yes |
| 207RX0202X | Internal Medicine, Medical Oncology | MD446692 | PA | |
| 207RH0003X | Internal Medicine, Hematology & Oncology | 300926 | NY | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
2350 Corporate CirHenderson, NV 89074-7737
Phone 702-968-7210 · Fax 702-735-7153
Mailing address
6355 S Buffalo Dr Fl 3Las Vegas, NV 89113-2133
Phone 702-216-3346
Other practice locations
2215 Burdett Ave
Troy, NY 12180-2466
Troy, NY 12180-2466
Phone 518-271-3775
11110 Medical Campus Rd Ste 130
Hagerstown, MD 21742
Hagerstown, MD 21742
Phone 301-665-4710
11110 Medical Campus Rd Ste 130
Hagerstown, MD 21742
Hagerstown, MD 21742
Phone 301-665-4710
317 S Manning Blvd Ste 220
Albany, NY 12208-3909
Albany, NY 12208-3909
Phone 518-525-6418
317 S Manning Blvd Ste 100
Albany, NY 12208-3917
Albany, NY 12208-3917
Phone 518-525-1404
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 10 free a day, then credits from $29 for 5,000. Useful for credentialing, billing and pharmacy claim checks.