Individual provider Active NPI

Kosi James Avotri, M.D.

  • Pediatrics Physician
  • Irvington, AL
National Provider Identifier
1922057645
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
22397 Issued in AL
Practice address
12701 Padgett Switch Rd
Irvington, AL 36544-4011
Phone
(251) 824-2174
NPI assigned
May 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 22397 AL Primary

Addresses

Primary practice location

12701 Padgett Switch Rd
Irvington, AL 36544-4011

Mailing address

12701 Padgett Switch Rd
Irvington, AL 36544-4011
Phone (251) 824-2174

Other identifiers 3

IdentifierTypeStateIssuer
167989MedicaidAL
511-92411OtherALBCBS
200280MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040323001041 AL Practitioner - Pediatric Medicine 0749171353 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22397ALMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bayou la Batre Area Health Development Board, Inc. CurrentSince Jan 5, 2015 Accepting new patients
Bayou la Batre Area Health Development Board, Inc. CurrentSince Jan 5, 2015 Accepting new patients

Locations

12701 Padgett Switch Rd
Irvington, AL 36544
Phone (251) 824-2174

7777 Highway 43
Mc Intosh, AL 36553
Phone (251) 944-2842

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CIEDDD

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1922057645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12701 PADGETT SWITCH RD",
            "city": "IRVINGTON",
            "state": "AL",
            "postal_code": "365444011",
            "telephone_number": "251-824-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12701 PADGETT SWITCH RD",
            "city": "IRVINGTON",
            "state": "AL",
            "postal_code": "365444011",
            "telephone_number": "251-824-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVOTRI",
        "first_name": "KOSI",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "22397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167989",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "511-92411",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200280",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvington, AL

Sources for this page

Verify at the official NPI Registry.