Purushotham Kotha, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

A41538 Issued in CA

Practice address

8860 Center Dr
#400
La Mesa, CA 91942-3068

Phone

(619) 229-1995

NPI assigned

Jul 13, 2006

Last updated

Sep 19, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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 1

Specialty

Internal MedicineAlso: Cardiovascular Disease (Cardiology)

Education

Other, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Grossmont Hospital Hospital, La Mesa, CA, CCN 050026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Emergency and Acute Care Medical Corporation

  • Emergency Medicine Physician
  • San Diego, CA
  • NPI 1437103942
  Medicare reassignment NPD
• Purushotham and Akther J Kotha M D Inc

  • Rheumatology Physician
  • La Mesa, CA
  • NPI 1447372487

  Cardiovascular Disease

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Grossmont Hospital Corporation

  dba Sharp Grossmont Hospital

  • General Acute Care Hospital
  • La Mesa, CA
  • NPI 1528041811
  Care Compare affiliation

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1093730814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8860 CENTER DR",
            "address_2": "#400",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423068",
            "telephone_number": "619-229-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8860 CENTER DR",
            "address_2": "#400",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423068",
            "telephone_number": "619-229-1995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTHA",
        "first_name": "PURUSHOTHAM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A41538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0099230",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Alin Kohanyi, LMFT
• Lana Konovalova
• Jennifer Moreen Kostrinsky, D.O
• Kotha Flamenco Dental Corporation (Helix Dental)
• Akther Jahan Kotha, MD
• Roshan Kotha, M.D
• Michael Peter Koumjian, MD
• Kourosh Khamooshian MD PC
• James J Kozak, D.D.S.
• Kpap Inc (Frost Medical Pharmacy)

• Cardiovascular Disease Physician in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.