Active NPI
Akther Jahan Kotha, MD
- Rheumatology Physician
- La Mesa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- A45440
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0099230 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- 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
- Sharp Chula Vista Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 29.61 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 98.69
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A45440 | CA | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Purushotham and Akther J Kotha M D Inc | Rheumatology | Current | Accepting new patients |
| Emergency and Acute Care Medical Corporation | Current | 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.
-
- Rheumatology Physician
- La Mesa, CA
- NPI 1447372487
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1437103942
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- La Mesa, CA
- NPI 1528041811
-
- General Acute Care Hospital
- Chula Vista, CA
- NPI 1396728630
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.