Mohammad H Kotaki, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

K0877 Issued in TX

Practice address

900 Plaza Dr
Suit 5
Mission, TX 78572-6049

Phone

(956) 583-0095

Fax

(956) 583-2118

NPI assigned

Oct 24, 2006

Last updated

Jul 7, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Valley Kidney Institute

  • Nephrology Physician
  • Mission, TX
  • NPI 1972741130
  NPD (past) Authorized official
• Mission Doctors Group

  dba Mission Heart and Vascular

  • Interventional Cardiology Physician
  • Mission, TX
  • NPI 1700893849
  NPD (past)
• Usrc Conway LLC

  dba US Renal Care Conway Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Mission, TX
  • NPI 1376092221
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246924800000",
    "number": "1760565378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 PLAZA DR",
            "address_2": "SUIT 5",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726049",
            "telephone_number": "956-583-0095",
            "fax_number": "956-583-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 PLAZA DR",
            "address_2": "SUIT 5",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726049",
            "telephone_number": "956-583-0095",
            "fax_number": "956-583-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTAKI",
        "first_name": "MOHAMMAD",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2009-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K0877",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "K0877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127635404",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "110164624",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kidney Doctors of South Texas PA
• Kids in Progress PLLC
• Deborah S Kim, CRNA
• Kind Primary Home Care, LLC.
• Rebecca A Koehler, DMD
• L & N Amor Inc (Palomita Blanca Adult Day Care)
• La Agencia Provider Services, LLC
• La Homa Dentistry, PLLC
• La Homa Family Dental PLLC
• La Homa Medical Equipment & Supply

• Nephrology Physician in Mission, TX
• Providers in Mission, TX by specialty
• Nephrology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.