Arun Jose Kottarathara, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

4301113282 Issued in MI

Practice address

2006 Limestone Rd
Wilmington, DE 19808-5553

Phone

(302) 355-2383

NPI assigned

Jan 26, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI, NJ, WI, DE, OH, OK, PA, GA, MD, KY, FL, TN12 enrollments

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 12

Specialty

Nephrology

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

T J Samson Community HospitalGroup PAC ID 0648182600, 197 clinicians

Froedtert Manitowoc Medical Group, LLCGroup PAC ID 2365836954, 156 clinicians

Thedacare, IncorporatedGroup PAC ID 1759294887, 654 clinicians

Knoxville Kidney Center, PLLCGroup PAC ID 2668485558, 13 clinicians

Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cumberland Medical Center Hospital, Crossville, TN, CCN 440009

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations (25 of 28)

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• Direct secure messaging: akottarathara49867@direct.covenanthealthcare.com
• Direct secure messaging: akottarathara511720@direct-ehr-ssmhc.com
• FHIR API: https://fhir-myrecord.cerner.com/r4/3c97fd5e-8596-4941-825c-71277aadd345/
• Direct secure messaging: akottarathara358574@ewd.direct.hshs.org
• Direct secure messaging: arun.kottarathara.1@22854.direct.athenahealth.com
• Direct secure messaging: akottarathara563686@direct.froedtert.com

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.

• Froedtert Manitowoc Medical Group, LLC

  dba Froedtert Northeast Medical Group

  • Multi-Specialty Clinic/Center
  • Manitowoc, WI
  • NPI 1437829975

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Knoxville Kidney Center, PLLC

  • Nephrology Physician
  • Knoxville, TN
  • NPI 1306864186

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Osf Multi-Specialty Group

  • Internal Medicine Physician
  • Peoria, IL
  • NPI 1922445527

  NJ, Single Specialty

  Medicare reassignment Care Compare group NPD
• T J Samson Community Hospital

  • Family Medicine Physician
  • Glasgow, KY
  • NPI 1477609865

  NJ, Single Specialty

  Medicare reassignment Care Compare group NPD
• Thedacare, Incorporated

  dba ThedaCare Physicians

  • Family Medicine Physician
  • New London, WI
  • NPI 1376656959

  NJ, Single Specialty

  Medicare reassignment Care Compare group NPD
• Nephrology Consultants PA

  • Nephrology Physician
  • Wilmington, DE
  • NPI 1356403539

  Single Specialty

  Medicare reassignment NPD
• Advocare, LLC

  • Pediatrics Physician
  • Marlton, NJ
  • NPI 1770538696

  Single Specialty

  Medicare reassignment NPD
• Baldwin Area Medical Center, Inc.

  dba Western Wisconsin Health

  • Critical Access Hospital
  • Baldwin, WI
  • NPI 1467496133

  Single Specialty

  Medicare reassignment NPD
• Froedtert &the Medical College of Wisconsin Community Physicians, Inc.

  • Internal Medicine Physician
  • Menomonee Falls, WI
  • NPI 1568787448

  Single Specialty

  Medicare reassignment NPD
• Kidney Disease & Hypertension Consultants PC

  • Nephrology Physician
  • Flint, MI
  • NPI 1548329683

  Single Specialty

  Medicare reassignment NPD
• Metro Healthcare Services LLC

  dba Metro Healthcare Services

  • Specialist
  • Oklahoma City, OK
  • NPI 1194558304

  Single Specialty

  Medicare reassignment NPD
• Metro Physicians LLC

  • Hospitalist Physician
  • Oklahoma City, OK
  • NPI 1588374797

  Single Specialty

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cumberland Medical Center, Inc.

  dba Cumberland Medical Center

  • General Acute Care Hospital
  • Crossville, TN
  • NPI 1871596403
  Care Compare affiliation

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1568852838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 LIMESTONE RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198085553",
            "telephone_number": "302-355-2383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 LIMESTONE RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198085553",
            "telephone_number": "302-355-2383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 W 8th Ave Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992042327",
            "country_code": "US",
            "telephone_number": "509-474-4500",
            "fax_number": "509-227-7070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOTTARATHARA",
        "first_name": "ARUN",
        "middle_name": "JOSE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-26",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WA",
            "license": "MD61151370",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WI",
            "license": "1676-320",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "4301113282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100193040",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akottarathara358574@ewd.direct.hshs.org",
            "affiliation": "Y",
            "affiliationName": "Sacred Heart Hospital of the Hospital Sisters- 3rd Order of St Francis",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "900 W Clairemont Ave",
            "city": "Eau Claire",
            "state": "WI",
            "country_code": "US",
            "postal_code": "547016122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Geeta Kotak, LCSW
• Aashna Kothari
• Nimmi R Kothari, M.D.
• Bonnie Macpherson Kotler, LPC
• Laura Patricia Kotowski
• Gabrielle Koury, M.A.,ED.S.,NCSP
• Kayley Alexis Kovac
• Daniel Stanley Kowalski, RPH
• Alexandra Ray Kownurko, CNM
• Sharon Kozlowski

• Nephrology Physician in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Nephrology Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.