Nirmal Kotwal, MD
Individual provider Active NPI Cytopathology Physician · Monongahela, PA
NPI 1699737007 · NPPES record last updated Apr 1, 2020
Key facts
- NPI
- 1699737007
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cytopathology Physician 207ZC0500X
- License
- MD036684L (PA)
- Practice address
- 1163 Country Club Rd
Monongahela, PA 15063-1013 - Phone
- (805) 578-8300
- NPI assigned
- Apr 3, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 31
Medicare Care Compare profile
- Specialty
- Pathology
- Education
- Other, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Monongahela Valley Hospital Inc
Practice addresses (Care Compare)
1163 Country Club Rd
Monongahela, PA 15063-1013
Phone (724) 258-1022
Hospital & facility affiliations
- Penn Highlands Mon Valley
- Penn Highlands Dubois
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101213000069 | PA | Practitioner - Pathology | 4385663244 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD036684L | PA | MD | Cytopathology Physician |
| MD036684L | CA | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monongahela Valley Hospital, Inc. | Current |
Accepting new patients | |
| Monongahela Valley Hospital, Inc. | Current | Accepting new patients | |
| Monongahela Valley Hospital, Inc. | Cytopathology | Current |
Accepting new patients |
Locations
1163 Country Club Rd
Monongahela, PA 15063
Phone (724) 258-1000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | MD036684L | CA | |
| Cytopathology Physician | 207ZC0500X | MD036684L | PA | Yes |
Addresses
Primary practice location
1163 Country Club Rd
Monongahela, PA 15063-1013
Mailing address
PO Box 10076
Van Nuys, CA 91410-0076
Phone (805) 578-8300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0009499960001 | Medicaid | PA |
Other providers in Monongahela, PA
- Mija Kim
- Alison Kolano
- Randall Komacko
- Stephanie M Koontz
- Kristen Elizabeth Kotsenas
- Susan Kozar
- Susan Kramer
- R. G. Krishnan
- Marinda L Krofcheck
- Krynicki Inc
All providers in Monongahela, PA · Cytopathology Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.