Individual provider Active NPI

Sudhansu Kothary, M.D.

  • Family Medicine Physician
  • Birmingham, AL
National Provider Identifier
1669864856
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.44375 Issued in AL
Practice address
619 19TH St S
Birmingham, AL 35249-3298
Phone
(205) 934-4011
NPI assigned
Feb 24, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5494 GA
Family Medicine Physician 207Q00000X MD.44375 AL Primary

Addresses

Primary practice location

619 19TH St S
Birmingham, AL 35249-3298

Mailing address

PO Box 55310
Birmingham, AL 35255-5310
Phone (205) 731-9701

Other practice location 1

626 E Summit St
Suite L
Mexico, MO 65265-3298
Phone (573) 581-6266

Other practice location 2

3719 Dauphin St
Mobile, AL 36608-1753
Phone (251) 344-9630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, AL2 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
I20180628001195 VA Practitioner - Internal Medicine 8325353428 Reassigns benefits to 1 organization
I20221018001818 AL Practitioner - Family Practice 8325353428 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Alabama Health Services Foundation, PC 2,784 clinicians
Hospital Medicine Associates LLC 208 clinicians

Practice addresses (Care Compare)

619 19TH St S
Birmingham, AL 35249-1900
Phone (205) 934-4011

810 Saint Vincents Dr
Birmingham, AL 35205-1601
Phone (205) 939-7000

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Hoover, AL, CCN 017009
  • University of Alabama Hospital Hospital, Birmingham, AL, CCN 010033
  • St Vincent'S Birmingham Hospital, Birmingham, AL, CCN 010056
  • St. Vincent'S East Hospital, Birmingham, AL, CCN 010011

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5494GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. CurrentSince Apr 1, 2025 Accepting new patients
Inpatient Consultants of Alabama, Inc CurrentSince Oct 15, 2022 Accepting new patients
Hospital Medicine Associates LLC Family Medicine CurrentSince Oct 15, 2022 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Oct 15, 2022 Accepting new patients
Commonwealth Primary Care Family Medicine CurrentSince Jul 1, 2018 Accepting new patients
Usacs Integrated Acute Care Services of Alabama, LLC CurrentSince Jul 12, 2024 Accepting new patients
Commonwealth Primary Care Family Medicine PastSince Jul 1, 2018 Accepting new patients
Springhill Hospitals, Inc Past Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

820 W Washington St
Eufaula, AL 36027
Phone (334) 687-5761

750 Morphy Ave
Fairhope, AL 36532
Phone (251) 928-2375

220 Doug Baker Blvd
Hoover, AL 35242

3717 Dauphin St
Mobile, AL 36608
Phone (251) 343-0909

3719 Dauphin St
Mobile, AL 36608
Phone (251) 342-3000

2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842

124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267

380 Woods Cove Rd
Scottsboro, AL 35768
Phone (256) 218-3579

1529 Huguenot Rd
Ste A
Midlothian, VA 23113
Phone (804) 378-7373

7140 Hull Street Rd
Ste 101
North Chesterfield, VA 23235
Phone (804) 276-4141

1800 Glenside Dr
Ste 105
Richmond, VA 23226
Phone (804) 288-0399

Organizations & group practices 11

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.

Hospital & facility affiliations 5

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": "1424736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1669864856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55310",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352555310",
            "telephone_number": "205-731-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352493298",
            "telephone_number": "205-934-4011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "626 E Summit St",
            "address_2": "Suite L",
            "address_purpose": "LOCATION",
            "city": "Mexico",
            "state": "MO",
            "postal_code": "652653298",
            "country_code": "US",
            "telephone_number": "573-581-6266",
            "fax_number": "573-581-0955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3719 Dauphin St",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366081753",
            "country_code": "US",
            "telephone_number": "251-344-9630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOTHARY",
        "first_name": "SUDHANSU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-24",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "5494",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD.44375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.