NPIMap

Organization Active NPI

Ajoy Kotwal MD PA

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1639427396
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0065983 Issued in FL
Legal business name
AJOY KOTWAL MD PA
Practice address
3102 W Cypress St
Suite B
Tampa, FL 33607-5118
Phone
(813) 874-1404
Fax
(813) 874-9305
NPI assigned
Aug 28, 2012
Last updated
Aug 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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

Authorized official

Name
Dr. Ajoy Kotwal, MDNPI 1811919657
Title
Owner
Phone
(813) 874-1404

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME0065983 FL Primary

Addresses

Primary practice location

3102 W Cypress St
Suite B
Tampa, FL 33607-5118

Mailing address

3102 W Cypress St
Suite B
Tampa, FL 33607-5118
Phone (813) 874-1404

Other identifiers 2

IdentifierTypeStateIssuer
270102OtherFLAVMED
25921OtherFLBCBS

National Provider Directory

National Provider Directory

Locations

3102 W Cypress St
Ste B
Tampa, FL 33607
Phone (813) 874-1404

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1639427396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3102 W CYPRESS ST",
            "address_2": "SUITE B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336075118",
            "telephone_number": "813-874-1404",
            "fax_number": "813-874-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3102 W CYPRESS ST",
            "address_2": "SUITE B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336075118",
            "telephone_number": "813-874-1404",
            "fax_number": "813-874-9305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AJOY KOTWAL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-28",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "KOTWAL",
        "authorized_official_first_name": "AJOY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-874-1404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0065983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "270102",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "25921",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.