Sharad Kothari, MD

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

296265 Issued in NY

Practice address

3979 Laconia Ave
Bronx, NY 10466-4916

Phone

(347) 442-7656

Fax

(347) 442-7049

NPI assigned

Aug 18, 2009

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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: Geriatric Medicine

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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.

• Mehta Medical PC

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1861977316
  Medicare reassignment NPD
• Visiting Services, LLC

  dba Visiting Docs

  • Primary Care Clinic/Center
  • Spring Valley, NY
  • NPI 1083241392
  Medicare reassignment NPD
• Abraham Operations Associates LLC

  dba Beth Abraham Center for Rehabilitation and Nursing

  • Skilled Nursing Facility
  • Bronx, NY
  • NPI 1053767848
  NPD (past)
• Papas Pharmacy

  dba Papas Pharmacy limited liability company

  • Community/Retail Pharmacy
  • Bronx, NY
  • NPI 1962779074
  NPD (past)
• Alliance Medical Group of Greater Waterbury PC

  • Internal Medicine Physician
  • Middlebury, CT
  • NPI 1750306015
  NPD (past)

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1245462621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3979 LACONIA AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104664916",
            "telephone_number": "347-442-7656",
            "fax_number": "347-442-7049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3979 LACONIA AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104664916",
            "telephone_number": "347-442-7656",
            "fax_number": "347-442-7049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1625 Straits Tpke Ste 304A",
            "address_purpose": "LOCATION",
            "city": "Middlebury",
            "state": "CT",
            "postal_code": "067621836",
            "country_code": "US",
            "telephone_number": "413-447-2531",
            "fax_number": "413-445-7009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOTHARI",
        "first_name": "SHARAD",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-18",
        "last_updated": "2022-07-21",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "296265",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MA",
            "license": "253041",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1310097",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicola Petrov Kotchev, MD
• Nikhitha Kotha, DO
• Venkata Neelima Kothapudi, MD
• Gaurav Kothari, B.S PHARMACY
• Pooja Pankaj Kothari, MD
• Yash Lalit Kothari, M.B.B.S.
• Esha Kothekar, MD
• Elizabeth Jan Kotkin, LMFT
• Marina Kotlyar, O.D.
• Kiriaki Kotsonas

• Geriatric Medicine (Internal Medicine) Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Geriatric Medicine (Internal Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.