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MS. RUDRANI KOTHA M.D.
NPI 1023809282
Student in an Organized Health Care Education/Training Program in Suprise, AZ

Active since May 15, 2025PECOS Enrolled
13995 W STATLER BLVD UNIT 200, SUPRISE, AZ 85374(602) 478-3100 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Rudrani Kotha M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. RUDRANI KOTHA M.D. (NPI 1023809282) is an individual student in an organized health care education/training program in Suprise, Arizona and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023809282
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMS. RUDRANI KOTHACredential: M.D.
Location Address13995 W STATLER BLVD UNIT 200Suprise, AZ 85374
Mailing Address13995 W Statler Blvd Unit 200Suprise, AZ 85374 · (602) 478-3100
Phone(602) 478-3100
Sole ProprietorNo
Enumeration DateMay 15, 2025
Last NPPES UpdateAugust 21, 2025
✔ NPI 1023809282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
13995 W STATLER BLVD UNIT 200, Suprise, AZ 85374
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Rudrani Kotha M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

URJA MUKESHBHAI MEHTA M.D.
Student in an Organized Health Care Education/Training Program
13995 W STATLER BLVD UNIT 200
SURPRISE, AZ 85374
Maricopa County (602) 478-3100
VIKRANT BADHWAR MD
Student in an Organized Health Care Education/Training Program
13995 W STATLER BLVD UNIT 200
SUPRISE, AZ 85374
Maricopa County (602) 478-3100
PRIJESH ASHOKBHAI AVAIYA MD
Student in an Organized Health Care Education/Training Program
13995 W STATLER BLVD UNIT 200
SURPRISE, AZ 85374
Maricopa County (602) 478-3100
MR. ARJUN DHIR
Student in an Organized Health Care Education/Training Program
13995 W STATLER BLVD UNIT 200
SUPRISE, AZ 85374
Maricopa County (602) 478-3100
MARIFLOR DELGADO RAHIM
Student in an Organized Health Care Education/Training Program
13995 W STATLER BLVD UNIT 200
SURPRISE, AZ 85374
Maricopa County (602) 478-3100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rudrani Kotha's NPI number?

The NPI number for Rudrani Kotha is 1023809282. It was assigned to this individual provider in the NPPES registry on May 15, 2025.

Where is Rudrani Kotha located?

Rudrani Kotha practices at 13995 W Statler Blvd Unit 200, Suprise, AZ 85374. The listed phone number is (602) 478-3100.

What is Rudrani Kotha's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Rudrani Kotha enrolled in Medicare?

Yes. Rudrani Kotha is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Rudrani Kotha was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.