Kinneri Kothari, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

61332 Issued in CT

Practice address

79 Wawecus St Ste 105
Norwich, CT 06360

Phone

(860) 886-0161

NPI assigned

Apr 18, 2014

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 CT

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

Ophthalmology

Education

New York Medical College, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Norwich Ophthalmology Group PCGroup PAC ID 8820062508, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kkothari250397@xdr.hhchealthdirect.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.

• Norwich Ophthalmology Group, P.C.

  • Ophthalmology Physician
  • Norwich, CT
  • NPI 1447438924
  Medicare reassignment Care Compare group NPD
• Norwich Ophthalmology Group, P.C.

  • Eyewear Supplier
  • Groton, CT
  • NPI 1427649128

  Ophthalmology

  NPD
• Norwich Ophthalmology Optical

  • Eyewear Supplier
  • Norwich, CT
  • NPI 1427081199
  NPD (past)

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

{
    "created_epoch": "1397779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533945600000",
    "number": "1588084446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 WAWECUS ST STE 105",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602173",
            "telephone_number": "860-886-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 WAWECUS ST STE 105",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "06360",
            "telephone_number": "860-886-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTHARI",
        "first_name": "KINNERI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-18",
        "last_updated": "2018-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "61332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mathew G Kolashuk
• Christopher Kolker, MD
• Pamela Sieber Kolp, APRN
• Alison Caroline Konow
• Jyothirmayee Korivi, M. D.
• Ashok Kottarathara, MD
• Georgina Koutouzis, DO
• Kristen Tiffany Kowalski
• Gregory Michael Kraczkowsky, DDS
• Hillary Kranc

• Ophthalmology Physician in Norwich, CT
• Providers in Norwich, CT by specialty
• Ophthalmology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2018; 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.