Individual provider Active NPI

Vinayak Kottoor, MD

  • Internal Medicine Physician
  • Arden, NC
National Provider Identifier
1689687287
Registry record updated Apr 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2013-02156 Issued in NC
Practice address
600 Julian LN
Ste 630
Arden, NC 28704-7812
Phone
(828) 651-0121
Fax
(828) 651-0141
NPI assigned
Aug 14, 2006
Last updated
Apr 29, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2020

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0070905 MD
Internal Medicine Physician 207R00000X 2013-02156 NC Primary
Clinical Genetics (M.D.) Physician 207SG0201X D0070905 MD
Clinical Genetics (M.D.) Physician 207SG0201X 2013-02156 NC
Pediatrics Physician 208000000X D0070905 MD
Pediatrics Physician 208000000X 2013-02156 NC

Addresses

Primary practice location

600 Julian LN
Ste 630
Arden, NC 28704-7812

Mailing address

50 Reddick Rd
Asheville, NC 28805-2717
Phone (828) 651-0121

Other identifiers 1

IdentifierTypeStateIssuer
420200700MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20140502001597 NC Practitioner - Internal Medicine 4587850664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians
Asheville Medicine and Pediatrics LTDGroup PAC ID 7113958349, 5 clinicians

Practice addresses (Care Compare)

55 Piney Mountain Dr
Asheville, NC 28805-1297
Phone (828) 252-1915

600 Julian LN
Suite 630
Arden, NC 28704-7812
Phone (828) 651-0121

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0070905MDMDInternal Medicine Physician
2013-02156NCMDClinical Genetics (M.D.) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Asheville Medicine & Pediatrics, LTD Internal Medicine CurrentSince May 1, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

600 Julian Ln
Ste 630
Arden, NC 28704
Phone (828) 651-0003

Organizations & group practices 2

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 3

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1689687287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 REDDICK RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288052717",
            "telephone_number": "828-651-0121",
            "fax_number": "828-651-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 JULIAN LN",
            "address_2": "STE 630",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "287047812",
            "telephone_number": "828-651-0121",
            "fax_number": "828-651-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTTOOR",
        "first_name": "VINAYAK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0070905",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2013-02156",
            "primary": true
        },
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "MD",
            "license": "D0070905",
            "primary": false
        },
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "NC",
            "license": "2013-02156",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0070905",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2013-02156",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420200700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arden, NC

Sources for this page

Verify at the official NPI Registry.