Individual provider Active NPI

Venkata Rajamannar Kothimbakam, MD

  • Vascular & Interventional Radiology Physician
  • Iowa City, IA
National Provider Identifier
1265421036
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
SP171 Issued in IA
Practice address
200 Hawkins Dr
University of Iowa Hospitals & Clinics
Iowa City, IA 52242-1082
Phone
(319) 356-4329
Fax
(319) 356-2220
NPI assigned
Oct 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X SP171 IA Primary

Addresses

Primary practice location

200 Hawkins Dr
University of Iowa Hospitals & Clinics
Iowa City, IA 52242-1082

Mailing address

200 Hawkins Dr
University of Iowa Hospitals & Clinics
Iowa City, IA 52242-1082
Phone (319) 356-4329

Other identifiers 2

IdentifierTypeStateIssuer
0455485MedicaidIA
37936OtherIAWELLMARK BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP171IAMDVascular & Interventional Radiology Physician

NPI Registry JSON

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1265421036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "address_2": "UNIVERSITY OF IOWA HOSPITALS & CLINICS",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421082",
            "telephone_number": "319-356-4329",
            "fax_number": "319-356-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "address_2": "UNIVERSITY OF IOWA HOSPITALS & CLINICS",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421082",
            "telephone_number": "319-356-4329",
            "fax_number": "319-356-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTHIMBAKAM",
        "first_name": "VENKATA",
        "middle_name": "RAJAMANNAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IA",
            "license": "SP171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0455485",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "37936",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.