Anil Kothari, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

01030081A Issued in IN

Practice address

825 E Lincolnway
Valparaiso, IN 46383-5803

Phone

(219) 464-4891

Fax

(219) 464-1873

NPI assigned

Jun 6, 2006

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Dunes Optical, LLC

  • Optometrist
  • Michigan City, IN
  • NPI 1306943436
  NPD (past)
• Lutheran HBP Services, LLC

  • Anesthesiology Physician
  • Bluffton, IN
  • NPI 1417847484

  Diagnostic Radiology

  NPD (past)
• Medical Group Surgery Center LLC

  dba Healthpartners Medical Group Sugery Center

  • Ambulatory Surgical Clinic/Center
  • Michigan City, IN
  • NPI 1760518617
  NPD (past)
• Southlake MRI & Diagnostic Center LLC

  • Radiology Clinic/Center
  • Merrillville, IN
  • NPI 1134178148
  NPD (past)

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194912000000",
    "number": "1336189885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 E LINCOLNWAY",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463835803",
            "telephone_number": "219-464-4891",
            "fax_number": "219-464-1873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 E LINCOLNWAY",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463835803",
            "telephone_number": "219-464-4891",
            "fax_number": "219-464-1873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTHARI",
        "first_name": "ANIL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2007-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01030081A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Kopka, LCSW
• Sierra Kopp, PHARMD.
• Asha Koshy, APN
• John Nick Kostidis, D.C.
• Daniel Richard Kotfer, MD
• Phillip George Koultourides, O.D.
• Lauren Hansen Koveck, DDS
• Rory Kramer
• Amy Jean Kreft, RN, FNP-BC
• Luana S. Krieger-Blake, MSW, LCSW

• Diagnostic Radiology Physician in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Diagnostic Radiology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.