Mary J. Kotob, MD, Inc
NPI 1083400220 · Medical Specialty Clinic/Center · Newport Beach, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mary J. Kotob, MD, Inc is a Medical Specialty Clinic/Center organization in Newport Beach, CA (NPI 1083400220).
Provider details
- NPI number
- 1083400220
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mary Kotob, Owner(714) 357-3202
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Dr Mary J Kotob
Registry dates
- Enumerated
- 2025-04-15
- Last updated
- 2025-04-15
- Certified
- 2025-04-07
Frequently asked questions
- What is Mary J. Kotob, MD, Inc's NPI number?
- Mary J. Kotob, MD, Inc's National Provider Identifier (NPI) is 1083400220, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mary J. Kotob, MD, Inc?
- Mary J. Kotob, MD, Inc is classified in the NPPES registry as Medical Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Mary J. Kotob, MD, Inc located?
- Mary J. Kotob, MD, Inc's practice location on file with NPPES is 400 Newport Center Dr Ste 202, Newport Beach, CA 92660-7639.
- What is Mary J. Kotob, MD, Inc's phone number?
- The practice phone number listed in the NPPES registry for Mary J. Kotob, MD, Inc is (949) 520-7774.
- Does Mary J. Kotob, MD, Inc accept Medicare?
- Mary J. Kotob, MD, Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mary J. Kotob, MD, Inc?
- The authorized official listed on Mary J. Kotob, MD, Inc's NPPES record is Mary Kotob, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mary J. Kotob, MD, Inc's NPI active?
- Yes — Mary J. Kotob, MD, Inc's NPI (1083400220) is active in the NPPES registry as of the last update on 2025-04-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.