Individual provider Active NPI

Akther Jahan Kotha, MD

  • Rheumatology Physician
  • La Mesa, CA
National Provider Identifier
1780609503
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
A45440 Issued in CA
Practice address
8860 Center Dr
#400
La Mesa, CA 91942-3068
Phone
(619) 229-1995
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X A45440 CA Primary

Addresses

Primary practice location

8860 Center Dr
#400
La Mesa, CA 91942-3068

Mailing address

8860 Center Dr
#400
La Mesa, CA 91942-3068
Phone (619) 229-1995

Other identifiers 1

IdentifierTypeStateIssuer
GR0099230MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090121000287 CA Practitioner - RheumatologyPractitioner - Internal Medicine 8527122423 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8860 Ctr Dr
Suite 400
La Mesa, CA 91942-7003

Hospital & facility affiliations

  • Grossmont Hospital Hospital, La Mesa, CA, CCN 050026
  • Sharp Chula Vista Medical Center Hospital, Chula Vista, CA, CCN 050222

Merit-based Incentive Payment System (MIPS)

Final score
29.61 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
98.69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A45440CAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Purushotham and Akther J Kotha M D Inc Rheumatology CurrentSince Nov 1, 2017 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Oct 1, 2014 Accepting new patients

Locations

637 E Grand Ave
Escondido, CA 92025
Phone (619) 229-1995

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

8860 Center Dr
Ste 400
La Mesa, CA 91942
Phone (619) 229-1995

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245

5555 Reservoir Dr
Ste 309
San Diego, CA 92120
Phone (619) 229-1995

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 2

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1780609503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8860 CENTER DR",
            "address_2": "#400",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423068",
            "telephone_number": "619-229-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8860 CENTER DR",
            "address_2": "#400",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423068",
            "telephone_number": "619-229-1995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTHA",
        "first_name": "AKTHER",
        "middle_name": "JAHAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "A45440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0099230",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.