Sejal M Kothadia, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

0101275719 Issued in VA

Practice address

1201 Broad Rock Blvd
Hematology/Oncology 5TH Floor
Richmond, VA 23249

Phone

(804) 675-5379

Fax

(804) 675-5774

NPI assigned

Mar 31, 2015

Last updated

Oct 4, 2022By the provider in NPPES

Sex

Female

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

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1336534098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 BROAD ROCK BLVD",
            "address_2": "HEMATOLOGY/ONCOLOGY 5TH FLOOR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23249",
            "telephone_number": "804-675-5379",
            "fax_number": "804-675-5774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 BROAD ROCK BLVD",
            "address_2": "HEMATOLOGY/ONCOLOGY 5TH FLOOR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23249",
            "telephone_number": "804-675-5379",
            "fax_number": "804-675-5774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTHADIA",
        "first_name": "SEJAL",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-31",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "VA",
            "license": "0101275719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medeline Koski
• Jennifer J. Koslow
• Amanda Meagan Kossoff, MFN
• Tassia C Kostopoulos, MD
• Vinutha Kotha
• Kayla Kougias
• Kaivon Kouhestani, DO
• Kristin Marie Kouski, PHARM. D.
• Nicole Michelle Koutras, MD
• Elizabeth Butler Kouzel, NP

• Hematology & Oncology Physician in Richmond, VA
• Providers in Richmond, VA by specialty
• Hematology & Oncology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.