Individual provider Active NPI

Kevin Rody Kotamarti, MD

  • Anesthesiology Physician
  • Tucson, AZ
National Provider Identifier
1790163756
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
R6427 Issued in TX
Practice address
6200 N la Cholla Blvd
Tucson, AZ 85741-3529
Phone
(520) 742-9000
Fax
(659) 235-6176
NPI assigned
May 11, 2015
Last updated
Nov 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X R6427 TX Primary

Addresses

Primary practice location

6200 N la Cholla Blvd
Tucson, AZ 85741-3529

Mailing address

6518 Covecreek PL
Dallas, TX 75240-5454

Other practice location 1

800 E Dawson St
Tyler, TX 75701-2036
Phone (903) 593-8441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ, NH, NY4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20190618000031 TX Practitioner - Anesthesiology 1153654595 Reassigns benefits to 6 organizations
I20220224001285 AZ Practitioner - Anesthesiology 1153654595 Reassigns benefits to 3 organizations
I20240430003628 NH Practitioner - Anesthesiology 1153654595 Reassigns benefits to 1 organization
I20240919000046 NY Practitioner - Anesthesiology 1153654595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ias Arizona PLLCGroup PAC ID 7517312648, 122 clinicians
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

10360 E Drexel Rd
Tucson, AZ 85747-9405
Phone (520) 207-2546

1400 8TH Ave
Fort Worth, TX 76104-4110

5301 E Grant Rd
Tucson, AZ 85712-2805
Phone (469) 340-1366

5408 Colleyville Blvd
Colleyville, TX 76034-5833
Phone (817) 498-9920

6201 Harry Hines Blvd
Dallas, TX 75235-5202
Phone (214) 590-8000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network Current Accepting new patients
Healthtexas Provider Network Anesthesiology CurrentSince Oct 27, 2025 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jul 2, 2019 Accepting new patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Jun 1, 2025 Accepting new patients
Healthtexas Provider Network Anesthesiology CurrentSince Oct 27, 2025 Accepting new patients
Sound Physicians Anesthesiology of Texas PLLC Anesthesiology CurrentSince Aug 1, 2022 Accepting new patients
Northstar Anesthesia II PA Anesthesiology CurrentSince Apr 19, 2022 Accepting new patients
Northstar Anesthesia, PA Anesthesiology CurrentSince Aug 25, 2022 Accepting new patients
Ias Arizona PLLC Anesthesiology CurrentSince Sep 20, 2023 Accepting new patients
Northwest HBP Medical Services LLC CurrentSince Sep 17, 2024 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Anesthesiology Current Accepting new patients
Hospitalist Medicine Physicians of Arizona - Nogales Anesthesiology CurrentSince Dec 15, 2021 Accepting new patients
North Shore - Lij Anesthesiology, PC Anesthesiology CurrentSince Jul 6, 2024 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Jun 1, 2025 Accepting new patients
Hospitalist Medicine Physicians of New York - Patchogue PC Anesthesiology CurrentSince Mar 23, 2024 Accepting new patients
Christus Trinity Clinic Texas Anesthesiology CurrentSince Jul 2, 2019 Accepting new patients

Locations (25 of 35)

1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

10360 E Drexel Rd
Tucson, AZ 85747
Phone (469) 340-1366

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833

8 Prospect St
Nashua, NH 03060
Phone (603) 281-9275

10 Prospect St
Ste 101
Nashua, NH 03060
Phone (603) 578-9909

301 Montauk Hwy
Bay Shore, NY 11706
Phone (631) 630-3977

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

195 E Main St
Huntington, NY 11743
Phone (631) 385-8677

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

11801 South Fwy
Burleson, TX 76028
Phone (817) 551-2738

12001 South Fwy
Ste 101
Burleson, TX 76028
Phone (807) 615-4400

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

7101 S Padre Island Dr
Corpus Christi, TX 78412
Phone (361) 761-1400

6201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 633-4700

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396

5151 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-3000

2001 W Rosedale St
Ft Worth, TX 76104
Phone (817) 877-4777

909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

4215 Ramsey Blvd E
Greenville, TX 75401
Phone (903) 408-1470

Interoperability endpoints

  • Direct secure messaging: kkotamarti702103@direct.llu.edu

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 3

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": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1790163756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6518 COVECREEK PL",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752405454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 N LA CHOLLA BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413529",
            "telephone_number": "520-742-9000",
            "fax_number": "659-235-6176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 E Dawson St",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757012036",
            "country_code": "US",
            "telephone_number": "903-593-8441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOTAMARTI",
        "first_name": "KEVIN",
        "middle_name": "RODY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-11",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "R6427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.