Deepthi Shivanand Kotihal, M.D.

Key facts

NPI

1154581841

Entity type

Individual (NPI type 1)

Primary specialty

Internal Medicine Physician 207R00000X

License

32891 (OK)

Practice address

550 S Peoria Ave
Tulsa, OK 74120-3820

Phone

(918) 588-1900

Fax

(918) 382-1285

NPI assigned

Jun 16, 2008

Sex

Female

Sole proprietor

Yes

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 and National Provider Directory roles.

• CH Specialty Services KS LLC Internal Medicine Physician · Lenexa, KS · NPI 1770282188
  Medicare reassignment Care Compare group NPD INTERNAL MEDICINE · KS
• Curana Health of Missouri-Kansas LLC Family Medicine Physician · Lees Summit, MO · NPI 1306165337
  Medicare reassignment Care Compare group NPD FAMILY MEDICINE · KS
• Indian Health Care Resource Center of Tulsa, Inc. Pharmacy · Tulsa, OK · NPI 1457447609
  NPD (past)
• St. John Physicians, Inc. Internal Medicine Physician · Tulsa, OK · NPI 1336194406
  NPD (past) FAMILY MEDICINE
• Delmar Gardens of Overland Park Operating, LLC Skilled Nursing Facility · Overland Park, KS · NPI 1285629048
  NPD (past)

Hospital & facility affiliations 1

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

• Delmar Gardens of Overland Park Operating, LLC Skilled Nursing Facility · Overland Park, KS · NPI 1285629048
  Care Compare affiliation Nursing home

Medicare Care Compare profile

Specialty

Internal Medicine

Education

Drexel University College of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Curana Health of Missouri-Kansas LLC (143 clinicians)
CH Specialty Services KS LLC (65 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Delmar Gardens of Overland Park Nursing home · Overland Park, KS · CCN 175182

Merit-based Incentive Payment System (MIPS)

Final score

73.31 of 100 (group)

Improvement activities

20

Cost

82.71

Medicare participation

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: dkotihal556303@ahs.direct-ci.com

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 28, 2025.

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1154581841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 S PEORIA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741203820",
            "telephone_number": "918-588-1900",
            "fax_number": "918-382-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S PEORIA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741203820",
            "telephone_number": "918-588-1900",
            "fax_number": "918-382-1285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1427 Vine St",
            "address_2": "605",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191021031",
            "country_code": "US",
            "telephone_number": "215-762-6565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOTIHAL",
        "first_name": "DEEPTHI",
        "middle_name": "SHIVANAND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-16",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-50297",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "32891",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT190350",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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