Individual provider Active NPI

Nikisha Ashok Kothari, M.D.

  • Ophthalmology Physician
  • Arlington, TX
National Provider Identifier
1114366796
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
S1632 Issued in TX
Practice address
801 W Randol Mill Rd Ste 101
Arlington, TX 76012
Phone
(817) 261-9625
NPI assigned
Jun 18, 2013
Last updated
Jun 24, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X S1632 TX Primary
Ophthalmology Physician 207W00000X A149895 CA

Addresses

Primary practice location

801 W Randol Mill Rd Ste 101
Arlington, TX 76012

Mailing address

9600 N Central Expy Ste 100
Dallas, TX 75231-5078

Other practice location 1

200 Stein Plaza 1-340
Los Angeles, CA 90095-3018
Phone (310) 825-3090

Other practice location 2

200 Stein Plaza 1-340
Los Angeles, CA 90095-3018
Phone (310) 825-3090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20190606002525 TX Practitioner - Ophthalmology 8628349875 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Miami, LM Miller School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Retina AssociatesGroup PAC ID 7012969843, 18 clinicians

Practice addresses (Care Compare)

801 W Randol Mill Rd
Suite 101
Arlington, TX 76012-2505
Phone (817) 261-9625

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.17 of 100Reported as group
Quality
82.48
Promoting interoperability
96
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A149895CAMDOphthalmology Physician
S1632TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Retina Associates Ophthalmology Current Accepting new patients
Texas Retina Associates Ophthalmology CurrentSince Jun 1, 2019 Accepting new patients
Texas Retina Associates Ophthalmology CurrentSince Jun 1, 2019 Accepting new patients
Texas Retina Associates Ophthalmology Past Accepting new patients

Locations

801 W Randol Mill Rd
Ste 101
Arlington, TX 76012
Phone (817) 261-9625

9600 N Central Expy
Ste 100
Dallas, TX 75231
Phone (214) 215-4627

1040 Texan Trl
Ste 100
Grapevine, TX 76051
Phone (817) 310-0107

2925 E Broad St
Mansfield, TX 76063
Phone (817) 477-0223

5800 Kell Blvd
Ste 100
Wichita Falls, TX 76310
Phone (940) 691-3232

Interoperability endpoints

  • Direct secure messaging: nikisha.kothari@direct.texasretina.nextgenshare.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1114366796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 N CENTRAL EXPY STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752315078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W RANDOL MILL RD STE 101",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76012",
            "telephone_number": "817-261-9625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Stein Plaza 1-340",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900953018",
            "country_code": "US",
            "telephone_number": "310-825-3090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Stein Plaza 1-340",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900953018",
            "country_code": "US",
            "telephone_number": "310-825-3090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOTHARI",
        "first_name": "NIKISHA",
        "middle_name": "ASHOK",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-18",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "S1632",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A149895",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.