Active NPI
Rajesh Kotak, M.D.
- Surgery Physician
- Brandon, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME113098
- Practice address
- 517 Eichenfeld Dr Ste 106
Brandon, FL 33511-5997 - Phone
- (800) 991-6117
- Fax
- (888) 812-8191
- NPI assigned
- Jan 26, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebology Physician | 202K00000X | ME113098 | FL | |
| Surgery Physician | 208600000X | ME113098 | FL | Primary |
Addresses
Primary practice location
517 Eichenfeld Dr Ste 106
Brandon, FL 33511-5997
Mailing address
3820 Northdale Blvd Ste 201
Ste 201,
Tampa, FL 33624-1893
Phone (800) 991-6117
Other practice location 1
12901 Bruce B Downs Blvd
MDC 41
Tampa, FL 33612-4742
Phone (813) 844-7412
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tarpon Springs Hospital Foundation Inc | Current | Accepting new patients | |
| Tarpon Springs Hospital Foundation Inc | Surgery | Current | Accepting new patients |
| Wazni, PLLC | Surgery | Current | Accepting new patients |
| Colorado Medical Group, PLLC | Surgery | Past | Accepting new patients |
Locations
3820 Northdale Blvd
Ste 201
Tampa, FL 33624
3657 Madaca Ln
Tampa, FL 33618
1395 S Pinellas Ave
#N
Tarpon Springs, FL 34689
Phone (727) 942-5126
1501 S Pinellas Ave
Ste T
Tarpon Springs, FL 34689
Phone (727) 934-6797
1395 S Pinellas Ave
Tarpon Springs, FL 34689
Phone (727) 942-5000
16553 S US Highway 301
Wimauma, FL 33598
Organizations & group practices 4
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.
-
dba AdventHealth Medical Group
- Internal Medicine Physician
- Tarpon Springs, FL
- NPI 1760786727
Surgery
-
dba AdventHealth North Pinellas
- General Acute Care Hospital
- Tarpon Springs, FL
- NPI 1568473015
-
dba United Vein & Vascular Centers
- Vascular Surgery Physician
- Fort Collins, CO
- NPI 1356714638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782777600000",
"number": "1770721912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3820 NORTHDALE BLVD STE 201",
"address_2": "STE 201,",
"city": "TAMPA",
"state": "FL",
"postal_code": "336241893",
"telephone_number": "800-991-6117",
"fax_number": "888-812-8191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "517 EICHENFELD DR STE 106",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115997",
"telephone_number": "800-991-6117",
"fax_number": "888-812-8191"
}
],
"practiceLocations": [
{
"address_1": "12901 Bruce B Downs Blvd",
"address_2": "MDC 41",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336124742",
"country_code": "US",
"telephone_number": "813-844-7412",
"fax_number": "813-974-8359",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOTAK",
"first_name": "RAJESH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-26",
"last_updated": "2026-06-30",
"certification_date": "2026-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "202K00000X",
"taxonomy_group": "",
"desc": "Phlebology",
"state": "FL",
"license": "ME113098",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME113098",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.