Shiva Kumar Kotturi, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

MA59794 Issued in NJ

Practice address

37 W Century Rd Ste 111
Paramus, NJ 07652-1466

Phone

(201) 262-2244

Fax

(201) 262-2246

NPI assigned

Oct 7, 2008

Last updated

Mar 30, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  NPD (past)
• Tesh M LLC

  dba City Pharmacy of Kearny

  • Pharmacy
  • Kearny, NJ
  • NPI 1720830565
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427673600000",
    "number": "1013168251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 CHRISTIE ST",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 W CENTURY RD STE 111",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521466",
            "telephone_number": "201-262-2244",
            "fax_number": "201-262-2246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTTURI",
        "first_name": "SHIVA",
        "middle_name": "KUMAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-07",
        "last_updated": "2015-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NJ",
            "license": "MA59794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanthie Elizabeth Koshy-Thomas, RPA-C
• Ron Koshy
• Jill Kossove, P.A.
• Mikhail Kotlov, M.D.
• Arun Jose Kottarathara, MD
• Georgios Kotzias, DPM
• Angela Koza
• Arieta Kraja, PA-C
• Radu Kramer, MD
• Geri Kreiner-Litt, DDS

• General Practice Physician in Paramus, NJ
• Providers in Paramus, NJ by specialty
• General Practice Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.