Active NPI
Ajoy Kotwal, MD
- Internal Medicine Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME0065983
- Practice address
- 3102 W Cypress St
Suite B
Tampa, FL 33607 - Phone
- (813) 874-1404
- Fax
- (813) 874-9305
- NPI assigned
- Jul 24, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME0065983 | FL | Primary |
Addresses
Primary practice location
3102 W Cypress St
Suite B
Tampa, FL 33607
Mailing address
3102 W Cypress St
Suite B
Tampa, FL 33607
Phone (813) 874-1404
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 231261 | Other | FL | WELLCARE |
| 25921 | Other | FL | BCBS |
| ME0065983 | Other | FL | STATE LIC |
| 270102 | Other | FL | AVMED |
| 231261 | Other | FL | STAYWELL |
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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3102 W Cypress St
Suite B
Tampa, FL 33607-5118
Phone (813) 874-1404
Hospital & facility affiliations
- St Josephs Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0065983 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Consultants of Florida, LLC | Internal Medicine | Current | Accepting new patients |
| Nautilus Health Care Group, LLC | Past | Accepting new patients | |
| Advanced Wound Systems LLC | Past | Accepting new patients | |
| Ashok Bhat M.D. PA | Internal Medicine | Past | Accepting new patients |
| Patient Medical Center of Florida Inc | Internal Medicine | Past | Accepting new patients |
Locations
819 N Central Ave
Kissimmee, FL 34741
Phone (407) 288-8242
672 SW Prima Vista Blvd
Ste 101
Port St Lucie, FL 34983
Phone (772) 905-2555
3505 E Hillsborough Ave
Ste 101
Tampa, FL 33610
Phone (813) 415-0100
3102 W Cypress St
Ste B
Tampa, FL 33607
Phone (813) 874-1404
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Deerfield Beach, FL
- NPI 1619169810
-
- Durable Medical Equipment & Medical Supplies
- St Petersburg, FL
- NPI 1508054271
-
- Internal Medicine Physician
- Tampa, FL
- NPI 1245429919
-
- Family Medicine Physician
- Kissimmee, FL
- NPI 1891206504
Internal Medicine
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Kokomo, IN
- NPI 1013234699
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1346519816
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1881632818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811919657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3102 W CYPRESS ST",
"address_2": "SUITE B",
"city": "TAMPA",
"state": "FL",
"postal_code": "33607",
"telephone_number": "813-874-1404",
"fax_number": "813-874-9305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3102 W CYPRESS ST",
"address_2": "SUITE B",
"city": "TAMPA",
"state": "FL",
"postal_code": "33607",
"telephone_number": "813-874-1404",
"fax_number": "813-874-9305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOTWAL",
"first_name": "AJOY",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME0065983",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "231261",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "25921",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LIC",
"identifier": "ME0065983",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "270102",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STAYWELL",
"identifier": "231261",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.