Individual provider Active NPI

Chandrasekhar Kothuru, MD

  • Internal Medicine Physician
  • California, MD
National Provider Identifier
1598287328
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D91038 Issued in MD
Practice address
22590 Shady Court
California, MD 20619-5009
Phone
(301) 373-7700
Fax
(301) 373-9197
NPI assigned
Jul 13, 2017
Last updated
Aug 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D91038 MD Primary

Addresses

Primary practice location

22590 Shady Court
California, MD 20619-5009

Mailing address

24035 Three Notch Rd
Hollywood, MD 20636-4871
Phone (301) 373-7900

Other identifiers 1

IdentifierTypeStateIssuer
D0091038OtherMDSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20210716001682 MD Practitioner - Pediatric MedicinePractitioner - Internal Medicine 0749682466 Reassigns benefits to 1 organization
I20221101001767 DC Practitioner - Internal MedicinePractitioner - Pediatric Medicine 0749682466 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

22590 Shady CT
California, MD 20619-5009
Phone (301) 373-7900

24035 Three Notch Rd
Hollywood, MD 20636-4871

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D91038MDMDInternal Medicine Physician
4301113156MIMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group - Southern Maryland LLC Current Accepting new patients
Medstar Medical Group - Southern Maryland LLC CurrentSince Jul 20, 2022 Accepting new patients
Medstar Medical Group - Southern Maryland LLC Internal Medicine CurrentSince Sep 1, 2021 Accepting new patients
Medstar Southern Maryland Physicians, LLC Past Accepting new patients

Locations

22590 Shady Ct
California, MD 20619
Phone (301) 737-0500

950 E Swan Creek Rd
Ft Washington, MD 20744
Phone (301) 292-0236

24035 Three Notch Rd
Hollywood, MD 20636
Phone (301) 373-2588

Interoperability endpoints

  • Direct secure messaging: chandrasekhar.kothurumd.p2@direct.msmg.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1598287328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24035 THREE NOTCH RD",
            "city": "HOLLYWOOD",
            "state": "MD",
            "postal_code": "206364871",
            "telephone_number": "301-373-7900",
            "fax_number": "301-373-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22590 SHADY COURT",
            "city": "CALIFORNIA",
            "state": "MD",
            "postal_code": "206195009",
            "telephone_number": "301-373-7700",
            "fax_number": "301-373-9197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTHURU",
        "first_name": "CHANDRASEKHAR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-13",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D91038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "D0091038",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in California, MD

Sources for this page

Verify at the official NPI Registry.