Individual provider Active NPI

Renu Kotwal, MD

  • Psychiatry Physician
  • Erlanger, KY
National Provider Identifier
1689788747
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
TP249 Issued in KY
Practice address
820 Dolwick Dr
Erlanger, KY 41018-2774
Phone
(859) 466-0115
Fax
(859) 287-3297
NPI assigned
Aug 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35.081126 OH
Psychiatry Physician 2084P0800X TP249 KY Primary

Addresses

Primary practice location

820 Dolwick Dr
Erlanger, KY 41018-2774

Mailing address

5240 E Galbraith Rd
Cincinnati, OH 45236-2877
Phone (513) 442-0027

Other practice location 1

5240 E Galbraith Rd
Cincinnati, OH 45236-2877
Phone (513) 442-0027

Other practice location 2

975 Kingsivew Drive
Bldg B
Lebanon, OH 45066-9562
Phone (513) 228-7800

Other identifiers 2

IdentifierTypeStateIssuer
2328332MedicaidOH
260051987OtherOHMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20040910000125 OH Practitioner - Psychiatry 1254308240 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
State of Ohio Office of Budget and Management State Accounting CurrentSince Jan 23, 2014 Accepting new patients
Mt. Airy Development, LLC CurrentSince Dec 28, 2025 Accepting new patients
State of Ohio Office of Budget and Management State Accounting CurrentSince Jan 23, 2014 Accepting new patients
Psychiatric Management Services Psychiatry CurrentSince Nov 24, 2024 Accepting new patients
Community Mental Heatlh Centers of Warren County, Inc. PastSince May 14, 2018 Accepting new patients
Hotel California by the Sea Cincinnati, LLC. Past Accepting new patients
University of Cincinnati Physicians, Inc. Psychiatry Past Accepting new patients
Hotel California by the Sea Cincinnati, LLC. Past Accepting new patients
Hotel California by the Sea Cincinnati, LLC. Past Accepting new patients
Hotel California by the Sea Cincinnati, LLC. Past Accepting new patients
Psychiatric Professional Services Psychiatry Past Accepting new patients
Assurance Health Cincinnati, LLC Past Accepting new patients
Hotel California by the Sea Cincinnati, LLC. Past Accepting new patients

Locations

8465 Keystone Xing
Ste 210
Indianapolis, IN 46240

11690 Grooms Rd
Blue Ash, OH 45242
Phone (317) 870-1396

1101 Summit Rd
Cincinnati, OH 45237
Phone (513) 948-3600

2446 Kipling Ave
Cincinnati, OH 45239
Phone (513) 583-8500

30 E Broad St
Fl 11
Columbus, OH 43215
Phone (614) 466-9930

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1689788747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5240 E GALBRAITH RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362877",
            "telephone_number": "513-442-0027",
            "fax_number": "513-442-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 DOLWICK DR",
            "city": "ERLANGER",
            "state": "KY",
            "postal_code": "410182774",
            "telephone_number": "859-466-0115",
            "fax_number": "859-287-3297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5240 E Galbraith Rd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452362877",
            "country_code": "US",
            "telephone_number": "513-442-0027",
            "fax_number": "513-442-0225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "975 Kingsivew Drive",
            "address_2": "Bldg B",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "OH",
            "postal_code": "450669562",
            "country_code": "US",
            "telephone_number": "513-228-7800",
            "fax_number": "513-228-7857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOTWAL",
        "first_name": "RENU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35.081126",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "TP249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2328332",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "260051987",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erlanger, KY

Sources for this page

Verify at the official NPI Registry.