Sujit Kumar Kotapati, M.D

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E-14472 Issued in AR

Practice address

6929 John F Kennedy Blvd Ste 104
North Little Rock, AR 72116-5358

Phone

(501) 235-8295

Fax

(501) 471-0771

NPI assigned

Apr 29, 2016

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

Other names 1

• Sujit Kumar Kotapati Other name

Medicare fee-for-service enrollment

Enrolled in AR

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

Family Practice

Education

Other, 2008

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Sage Health Arkansas PLLCGroup PAC ID 1658720297, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sujit.kumar.kotapati.1@27478.direct.athenahealth.com
• Direct secure messaging: skotapati420114@direct.peacehealth.org

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.

• Sage Health Arkansas PLLC

  • Primary Care Clinic/Center
  • North Little Rock, AR
  • NPI 1366153918
  Medicare reassignment Care Compare group NPD
• University of Arkansas for Medical Sciences

  • Internal Medicine Physician
  • Little Rock, AR
  • NPI 1588654016

  Family Medicine

  Medicare reassignment NPD
• University of Arkansas for Medical Sciences

  • Family Medicine Physician
  • El Dorado, AR
  • NPI 1023795051
  NPD
• University of Arkansas for Medical Sciences

  • Psychologist
  • Little Rock, AR
  • NPI 1578643045
  NPD
• University of Arkansas for Medical Sciences

  • Family Medicine Physician
  • Pine Bluff, AR
  • NPI 1831144120
  NPD (past)
• Peacehealth

  • Sleep Disorder Diagnostic Clinic/Center
  • Bellingham, WA
  • NPI 1265692842
  NPD (past)
• Sage Health Maryland LLC

  • Primary Care Clinic/Center
  • Woodlawn, MD
  • NPI 1770294324
  NPD (past)
• Sage Health Mississippi LLC

  • Primary Care Clinic/Center
  • Gulfport, MS
  • NPI 1861103400
  NPD (past)
• University of Alabama Health Services Foundation, PC.

  • Multi-Specialty Clinic/Center
  • Birmingham, AL
  • NPI 1093768723
  NPD (past)

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

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1336594191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6929 JOHN F KENNEDY BLVD STE 104",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721165358",
            "telephone_number": "501-235-8295",
            "fax_number": "501-471-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6929 JOHN F KENNEDY BLVD STE 104",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721165358",
            "telephone_number": "501-235-8295",
            "fax_number": "501-471-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTAPATI",
        "first_name": "SUJIT KUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-29",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-14472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUJIT",
            "last_name": "KOTAPATI",
            "middle_name": "KUMAR",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dierna Koon
• Siva Sundeep Koppolu, MBBS
• Kori Lynne Kornet, MD, MPH
• Erica Louise Kosmach, B.S., MHPP
• Vinisha Reddy Kota, M.D.
• Vijaya Padma Kotapati, MD
• Atul Kothari, MD
• Monica Kothari, MD
• Kristin D. Clark DDS, Ms, PA
• Kroger Limited Partnership I

• Family Medicine Physician in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.