Individual provider Active NPI

Tulsi Jagdish Kotecha, M.D.

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1447659800
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036143139 Issued in IL
Practice address
2233 W Division St
Chicago, IL 60622-8151
Phone
(312) 770-2128
NPI assigned
Aug 21, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125.065569 IL
Internal Medicine Physician 207R00000X 036143139 IL Primary

Addresses

Primary practice location

2233 W Division St
Chicago, IL 60622-8151

Mailing address

2140 N Winchester Ave
Unit 12
Chicago, IL 60614-3947
Phone (765) 714-6949

Other practice location 1

2900 N Lake Shore Dr
Chicago, IL 60657-5640
Phone (773) 665-3022

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tkotecha49841@ce-direct.presencehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20170622002866 IL Practitioner - Internal Medicine 2264700830 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.065569ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
KSB Medical Group, Inc. CurrentSince Mar 1, 2021 Accepting new patients
Chicago Physician Services, P.C. Internal Medicine CurrentSince Jun 1, 2024 Accepting new patients
24 On Physicians, PC CurrentSince May 9, 2023 Accepting new patients
24 On Physicians, P.C. CurrentSince May 9, 2023 Accepting new patients
KSB Medical Group, Inc. Internal Medicine CurrentSince Mar 1, 2021 Accepting new patients
Osf Multi-Specialty Group Internal Medicine CurrentSince Dec 27, 2024 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients

Locations

405 W Jackson St
Carbondale, IL 62901

2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240

7435 W Talcott Ave
Chicago, IL 60631
Phone (773) 467-9977

403 E 1st St
Dixon, IL 61021
Phone (815) 285-5629

215 E 1st St
Ste 117
Dixon, IL 61021
Phone (815) 285-5900

215 E 1st St
Ste 111
Dixon, IL 61021
Phone (815) 285-5477

201 S 14th St
Herrin, IL 62948
Phone (618) 942-2171

1100 E Norris Dr
Ottawa, IL 61350
Phone (815) 416-1224

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1447659800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 N WINCHESTER AVE",
            "address_2": "UNIT 12",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606143947",
            "telephone_number": "765-714-6949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 W DIVISION ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606228151",
            "telephone_number": "312-770-2128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 N Lake Shore Dr",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606575640",
            "country_code": "US",
            "telephone_number": "773-665-3022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOTECHA",
        "first_name": "TULSI",
        "middle_name": "JAGDISH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-21",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125.065569",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036143139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tkotecha49841@ce-direct.presencehealth.org",
            "affiliation": "N",
            "address_1": "2233 W Division St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606228151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.