Individual provider Active NPI

Dhruva Kumar Kothari, M.D.

  • Internal Medicine Physician
  • Worcester, MA
National Provider Identifier
1063771574
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
264182 Issued in MA
Practice address
100 Grove St Ste 115
Worcester, MA 01605-2630
Phone
(833) 904-0620
NPI assigned
May 4, 2012
Last updated
Sep 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 264182 MA Primary

Addresses

Primary practice location

100 Grove St Ste 115
Worcester, MA 01605-2630

Mailing address

100 Grove St Ste 115
Worcester, MA 01605-2630

Other practice location 1

1259 Bedford Ave
Brooklyn, NY 11216-1813
Phone (833) 904-2273

Other practice location 2

500 E Main St Ste 105
Columbus, OH 43215-5619
Phone (833) 904-2273

Other practice location 3

26026 W 12 Mile Rd Ste 202
Southfield, MI 48034-1783
Phone (833) 904-2273

Other practice location 4

15416 N Florida Ave Ste 203
Tampa, FL 33613-1239
Phone (833) 904-2273

Other practice location 5

4444 The Plz Unit 18
Charlotte, NC 28215-2189
Phone (336) 360-2407

Other practice location 6

495 Flatbush Ave Ste C5
Brooklyn, NY 11225-3782
Phone (833) 904-2273

Other practice location 7

16115 LaSalle Street
South Holland, IL 60473
Phone (833) 904-2273

Other practice location 8

2301 N Meridian St
Indianapolis, IN 46208-5729
Phone (833) 904-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NC, OH, IN, NY, MI, IL7 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20160128000890 MA Practitioner - Internal Medicine 6305149154 Reassigns benefits to 1 organization
I20220727003409 NC Practitioner - Internal Medicine 6305149154 Reassigns benefits to 1 organization
I20220913000892 OH Practitioner - Internal Medicine 6305149154 Reassigns benefits to 1 organization
I20231218002323 IN Practitioner - Internal Medicine 6305149154 Reassigns benefits to 1 organization
I20240809001548 NY Practitioner - Internal Medicine 6305149154 Reassigns benefits to 1 organization
I20260522001336 MI Practitioner - Internal Medicine 6305149154 Reassigns benefits to 1 organization
I20260526001266 IL Practitioner - Internal Medicine 6305149154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

495 Flatbush Ave
Brooklyn, NY 11225-3706

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cityblock Medical Practice, LLC CurrentSince Sep 1, 2022 Accepting new patients
Cityblock Ipa Ny, LLC Internal Medicine CurrentSince Dec 14, 2025 Accepting new patients
Cityblock Medical Practice, P.a. Internal Medicine CurrentSince Jan 1, 2023 Accepting new patients
Oluwatoyin Ajayi Medical Practice, PC CurrentSince Jun 2, 2024 Accepting new patients
Cityblock Medical Practice, P.a. Internal Medicine Past Accepting new patients

Locations

15416 N Florida Ave
Ste 203
Tampa, FL 33613
Phone (347) 463-5529

16115 La Salle St
South Holland, IL 60473
Phone (347) 463-5529

3030 Lake Ave
Ste 21
Fort Wayne, IN 46805
Phone (219) 482-1681

2301 N Meridian St
Indianapolis, IN 46208
Phone (317) 602-5610

2620 Kessler Boulevard East Dr
Ste 110
Indianapolis, IN 46220
Phone (551) 804-3029

155 Federal St
Ste 700
Boston, MA 02110
Phone (469) 466-7420

100 Grove St
Worcester, MA 01605
Phone (508) 752-3763

100 Grove St
Ste 115
Worcester, MA 01605
Phone (347) 463-5529

186 N Main St
Fl 2
Plymouth, MI 48170
Phone (248) 602-3303

4444 The Plaza
Charlotte, NC 28215
Phone (336) 360-2407

4444 The Plaza
Unit 18
Charlotte, NC 28215

1840 Owen Dr
Ste 105
Fayetteville, NC 28304
Phone (630) 957-8536

1439 E Cone Blvd
Greensboro, NC 27405
Phone (336) 375-6104

624 Quaker Ln
Ste C200
High Point, NC 27262
Phone (336) 887-3164

3333 Brookview Hills Blvd
Ste 102
Winston Salem, NC 27103
Phone (336) 760-1448

1259 Bedford Ave
Brooklyn, NY 11216
Phone (347) 463-5529

495 Flatbush Ave
Brooklyn, NY 11225
Phone 80033611001

495 Flatbush Ave
Ste C5
Brooklyn, NY 11225
Phone (347) 463-5529

546 Eastern Pkwy
Brooklyn, NY 11225
Phone (718) 604-4800

55 Water St
#4C
Brooklyn, NY 11201
Phone (917) 718-2063

800 N High St
Ste 4102
Columbus, OH 43215
Phone (347) 463-5529

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: dhruva.kothari.1@27775.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1336089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1063771574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GROVE ST STE 115",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GROVE ST STE 115",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052630",
            "telephone_number": "833-904-0620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1259 Bedford Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112161813",
            "country_code": "US",
            "telephone_number": "833-904-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 E Main St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432155619",
            "country_code": "US",
            "telephone_number": "833-904-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26026 W 12 Mile Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480341783",
            "country_code": "US",
            "telephone_number": "833-904-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15416 N Florida Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336131239",
            "country_code": "US",
            "telephone_number": "833-904-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4444 The Plz Unit 18",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282152189",
            "country_code": "US",
            "telephone_number": "336-360-2407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "495 Flatbush Ave Ste C5",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112253782",
            "country_code": "US",
            "telephone_number": "833-904-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16115 LaSalle Street",
            "address_purpose": "LOCATION",
            "city": "South Holland",
            "state": "IL",
            "postal_code": "60473",
            "country_code": "US",
            "telephone_number": "833-904-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2301 N Meridian St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462085729",
            "country_code": "US",
            "telephone_number": "833-904-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOTHARI",
        "first_name": "DHRUVA",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-04",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "264182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.