Active NPI
Ramesh M Kotihal, M.D.
- Nephrology Physician
- Orange Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- ME103955
- Practice address
- 1563 Kingsley Avenue
Suite 106
Orange Park, FL 32073 - Phone
- (904) 272-6161
- Fax
- (904) 389-5332
- NPI assigned
- Dec 4, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 51437-20 | WI | |
| Internal Medicine Physician | 207R00000X | 51437-20 | WI | |
| Nephrology Physician | 207RN0300X | ME103955 | FL | Primary |
Addresses
Primary practice location
1563 Kingsley Avenue
Suite 106
Orange Park, FL 32073
Mailing address
2 Shircliff Way
Suite 700 Depaul BLDG.
Jacksonville, FL 32204-4763
Phone (904) 389-5333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001479700 | Medicaid | FL |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091107000008 | FL | Practitioner - Nephrology | 6204909195 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2 Shircliff Way
Jacksonville, FL 32204-4759
Phone (904) 389-5333
2 Shircliff Way
Suite 415
Jacksonville, FL 32204-4763
2 Shircliff Way 700 Depaul BLDG
Nephrology Associates of Northeast
Jacksonville, FL 32204-4759
Phone (904) 389-5333
Hospital & facility affiliations
- Northeast Florida Dialysis Center
- Orange Park Kidney Center
- HCA Florida Orange Park Hospital
- Ascension St Vincent'S Clay County
- Baptist Health Medical Center - Jacksonville
- Ascension St Vincent'S Riverside
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles (2 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James D. Baker III, M.D., PA | Nephrology | Current | Accepting new patients |
| Florida Infectious Disease Associates PA | Past | Accepting new patients |
Locations
2 Shircliff Way
Ste 700
Jacksonville, FL 32204
Phone (904) 387-3001
2 Shircliff Way
Ste 415
Jacksonville, FL 32204
Phone (904) 389-5333
1658 St Vincents Way
Ste 340
Middleburg, FL 32068
Phone (904) 269-6526
1563 Kingsley Ave
Ste 106
Orange Park, FL 32073
Phone (904) 272-6161
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
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.
-
- Family Nurse Practitioner
- Orange Park, FL
- NPI 1124214879
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Orange Park, FL
- NPI 1033135306
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Orange Park, FL
- NPI 1346352101
Dialysis facility
-
- General Acute Care Hospital
- Orange Park, FL
- NPI 1689611501
Hospital
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
Hospital
-
- General Acute Care Hospital
- Middleburg, FL
- NPI 1457690471
Hospital
-
- Clinical Medical Laboratory
- Jacksonville, FL
- NPI 1669556072
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713484800000",
"number": "1811055080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 SHIRCLIFF WAY",
"address_2": "SUITE 700 DEPAUL BLDG.",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322044763",
"telephone_number": "904-389-5333",
"fax_number": "904-389-5332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1563 KINGSLEY AVENUE",
"address_2": "SUITE 106",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "32073",
"telephone_number": "904-272-6161",
"fax_number": "904-389-5332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOTIHAL",
"first_name": "RAMESH",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2024-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "WI",
"license": "51437-20",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WI",
"license": "51437-20",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "FL",
"license": "ME103955",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001479700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; 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.