Individual provider Active NPI

Mitesh Bharatkimar Kothari, M.D.

  • Obstetrics & Gynecology Physician
  • Hagerstown, MD
National Provider Identifier
1306849799
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
D0054259 Issued in MD
Practice address
1165 Imperial Drive
Ste 300
Hagerstown, MD 21740-6556
Phone
(301) 665-9098
Fax
(301) 665-9096
NPI assigned
May 31, 2005
Last updated
Oct 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X D0054259 MD Primary

Addresses

Primary practice location

1165 Imperial Drive
Ste 300
Hagerstown, MD 21740-6556

Mailing address

8110 Maple Lawn Blvd Ste 235
Fulton, MD 20759-2694
Phone (301) 340-8339

Other identifiers 1

IdentifierTypeStateIssuer
116602600MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mitesh.kothari.p1@direct.cwcare.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20070607000312 MD Practitioner - Obstetrics/Gynecology 3173621604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
43.1 of 100Reported as group
Quality
7.9
Improvement activities
40
Cost
79.19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0054259MDMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Women's Care, L.L.C. Obstetrics & Gynecology Current Accepting new patients
Capital Women's Care, L.L.C. Obstetrics & Gynecology CurrentSince Mar 1, 2007 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

61 Thomas Johnson Dr
Frederick, MD 21702
Phone (301) 663-6171

11850 W Market Pl
Ste P
Fulton, MD 20759

8110 Maple Lawn Blvd
Ste 235
Fulton, MD 20759

11110 Medical Campus Rd
Ste 249
Hagerstown, MD 21742
Phone (301) 665-9098

1165 Imperial Dr
Ste 300
Hagerstown, MD 21740
Phone (301) 665-9098

9711 Medical Center Dr
Ste 109
Rockville, MD 20850
Phone (301) 762-5501

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1306849799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 MAPLE LAWN BLVD STE 235",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592694",
            "telephone_number": "301-340-8339",
            "fax_number": "301-340-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 IMPERIAL DRIVE",
            "address_2": "STE 300",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406556",
            "telephone_number": "301-665-9098",
            "fax_number": "301-665-9096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTHARI",
        "first_name": "MITESH",
        "middle_name": "BHARATKIMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D0054259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116602600",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mitesh.kothari.p1@direct.cwcare.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1165 Imperial Drive",
            "address_2": "Ste 300",
            "city": "Hagerstown",
            "state": "MD",
            "country_code": "US",
            "postal_code": "217406556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.