Active NPI
Sorabh Kothari, MD
- Cardiovascular Disease Physician
- Tucker, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 98548
- Practice address
- 1468 Montreal Rd
Tucker, GA 30084-6901 - Phone
- (770) 638-1400
- NPI assigned
- May 9, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036147652 | IL | |
| Cardiovascular Disease Physician | 207RC0000X | 036147652 | IL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Cardiovascular Disease Physician | 207RC0000X | 98548 | GA | Primary |
Addresses
Primary practice location
1468 Montreal Rd
Tucker, GA 30084-6901
Mailing address
1468 Montreal Rd
Tucker, GA 30084-6901
Phone (770) 638-1400
Other practice location 1
1875 W Dempster St Ste 525
Park Ridge, IL 60068-1130
Phone (847) 698-3600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Chicago College of Medicine and Surgery, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1468 Montreal Rd
Tucker, GA 30084-6901
Phone (770) 638-1400
Hospital & facility affiliations
- Emory Decatur Hospital
- Saint Joseph'S Hospital of Atlanta, Inc
- Emory Hillandale Hospital
- Emory Johns Creek Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 31 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036147652 | IL | MD | Internal Medicine Physician |
| 98548 | GA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanta Heart Specialists LLC | Internal Medicine | Current | Accepting new patients |
| Dekalb Medical Center, Inc. | Past | Accepting new patients | |
| Dekalb Medical Psych Unit | Past | Accepting new patients |
Locations
2801 N Decatur Rd
Ste 395
Decatur, GA 30033
Phone (404) 298-2220
2665 N Decatur Rd
Ste 320
Decatur, GA 30033
Phone (404) 292-1144
5667 Peachtree Dunwoody Rd
Ste 390
Sandy Springs, GA 30342
Phone (404) 250-4530
1468 Montreal Rd
Tucker, GA 30084
Phone (770) 638-1400
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FIFCAA
Organizations & group practices 3
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.
-
- Cardiovascular Disease Physician
- Tucker, GA
- NPI 1891881827
Internal Medicine
-
- General Acute Care Hospital
- Decatur, GA
- NPI 1093716979
-
- Psychiatric Hospital Unit
- Decatur, GA
- NPI 1821099474
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Decatur, GA
- NPI 1093716979
-
- General Acute Care Hospital
- Lithonia, GA
- NPI 1962403865
-
- General Acute Care Hospital
- Johns Creek, GA
- NPI 1679632137
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1679664395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710201600000",
"number": "1154777167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1468 MONTREAL RD",
"city": "TUCKER",
"state": "GA",
"postal_code": "300846901",
"telephone_number": "770-638-1400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1468 MONTREAL RD",
"city": "TUCKER",
"state": "GA",
"postal_code": "300846901",
"telephone_number": "770-638-1400"
}
],
"practiceLocations": [
{
"address_1": "1875 W Dempster St Ste 525",
"address_purpose": "LOCATION",
"city": "Park Ridge",
"state": "IL",
"postal_code": "600681130",
"country_code": "US",
"telephone_number": "847-698-3600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOTHARI",
"first_name": "SORABH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-09",
"last_updated": "2024-03-12",
"certification_date": "2024-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036147652",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "036147652",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "GA",
"license": "98548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucker, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.