Isha Kothari, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085004430 Issued in IL

Practice address

311 S County Farm Rd Ste a
Wheaton, IL 60187-2477

Phone

(630) 566-4585

Fax

(833) 602-1648

NPI assigned

Mar 9, 2011

Sex

Female

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

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Fareha N. Malik, M.D. LLCGroup PAC ID 5193863587, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Fareha N. Malik, M.D. LLC

  • Child & Adolescent Psychiatry Physician
  • Rockford, IL
  • NPI 1528195013
  Medicare reassignment Care Compare group
• Advanced Psychiatry of Elgin

  • Behavior Analyst
  • Elgin, IL
  • NPI 1588069306
  NPD (past)

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

{
    "created_epoch": "1299628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1154629541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 S COUNTY FARM RD STE A",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601872477",
            "telephone_number": "630-566-4585",
            "fax_number": "833-602-1648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 S COUNTY FARM RD STE A",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601872477",
            "telephone_number": "630-566-4585",
            "fax_number": "833-602-1648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTHARI",
        "first_name": "ISHA",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-09",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085004430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karolina Konopka, LCSW
• Pamela Kooi, SLP
• Oommen A Koshy, MD
• Mark Andrew Kostko, DDS
• Christian Davie Kostos
• Shveta Kothari
• Anita Kou, M.D.
• James N Kouracos, DDS, MS
• Diane Kouretas, NP
• Sarah Whitney Kovarik, PA-C

• Physician Assistant in Wheaton, IL
• Providers in Wheaton, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; 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.