NPIMap

Individual provider Active NPI

Radhika Kotha, MD

  • Family Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1740418813
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD446161 Issued in PA
Practice address
2140 Ardmore Blvd
Ste 100
Pittsburgh, PA 15221-4860
Phone
(412) 825-0500
Fax
(412) 825-0720
NPI assigned
Jun 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD446161 PA Primary

Addresses

Primary practice location

2140 Ardmore Blvd
Ste 100
Pittsburgh, PA 15221-4860

Mailing address

3824 Northern Pike
Ste 700
Monroeville, PA 15146-2141
Phone (412) 457-0060

Other identifiers 1

IdentifierTypeStateIssuer
MD446161OtherPAMD LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address radhikakotha@pmapa.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120726000120 PA Practitioner - Family Practice 5597921171 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Medical Associates PCGroup PAC ID 9830003235, 104 clinicians

Practice addresses (Care Compare)

2140 Ardmore Blvd
Suite 100
Pittsburgh, PA 15221-4860
Phone (412) 825-0500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD446161PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Associates PC Family Medicine CurrentSince Aug 20, 2012 Accepting new patients
Premier Medical Associates, PC CurrentSince Aug 20, 2012 Accepting new patients

Locations

3824 Northern Pike
Ste 700
Monroeville, PA 15146
Phone (412) 457-0060

3824 Northern Pike
Ste 300
Monroeville, PA 15146
Phone (412) 856-5335

3824 Northern Pike
Ste 200
Monroeville, PA 15146
Phone (412) 380-2800

2140 Ardmore Blvd
Ste 100
Pittsburgh, PA 15221
Phone (412) 825-0500

Interoperability endpoints

  • Direct secure messaging: rkotha627916@direct.ahn.org

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 and National Provider Directory roles.

Hospital & facility affiliations 12

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": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1740418813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3824 NORTHERN PIKE",
            "address_2": "STE 700",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462141",
            "telephone_number": "412-457-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 ARDMORE BLVD",
            "address_2": "STE 100",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152214860",
            "telephone_number": "412-825-0500",
            "fax_number": "412-825-0720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTHA",
        "first_name": "RADHIKA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-29",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD446161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LICENSE",
            "identifier": "MD446161",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "radhikakotha@pmapa.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "2140 Ardmore Blvd",
            "address_2": "Ste 100",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152214860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.