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NIPUN KOTHA DDS
NPI 1043443013
Dentist - General Practice in Oklahoma City, OK

Active since August 25, 2009PECOS Enrolled
500 SW 44TH ST, OKLAHOMA CITY, OK 73109(405) 632-6688 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nipun Kotha Dds NPPES

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

NIPUN KOTHA DDS (NPI 1043443013) is an individual general practice provider in Oklahoma City, Oklahoma, licensed in Oklahoma (6551) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043443013
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameNIPUN KOTHACredential: DDS
Location Address500 SW 44TH STOklahoma City, OK 73109-3540
Mailing Address3000 N Grand BlvdOklahoma City, OK 73107-1818 · (405) 632-6688
Phone(405) 632-6688
Sole ProprietorNo
Enumeration DateAugust 25, 2009
Last NPPES UpdateMay 6, 2024
NPPES CertifiedMay 6, 2024
✔ NPI 1043443013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OK · 6551
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
500 SW 44TH ST, Oklahoma City, OK 73109
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nipun Kotha Dds 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.

Medicare Billing Reassignment

Medicare enrollment records show Nipun Kotha reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Variety Care, Inc.
Same address
Federally Qualified Health Center (FQHC)
500 SW 44TH ST
Oklahoma City, OK 73109
  • Reassigned Medicare billing, Oklahoma enrollment
  • 117 clinicians in this Medicare group
NPI 1982939526 (405) 632-6688

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

SANDRA JEAN GILLILAND MD
Pediatrics
500 SW 44TH ST
OKLAHOMA CITY, OK 73109
Oklahoma County (405) 632-6688
REBECCA ELIZABETH HENDLEY PA-C
Physician Assistant
500 SW 44TH ST
OKLAHOMA CITY, OK 73109
Oklahoma County (405) 632-6688
MS. YOLANDA ROCHELLE LANE NP
Nurse Practitioner (Family)
500 SW 44TH ST
OKLAHOMA CITY, OK 73109
Oklahoma County (405) 632-6688
KANITA L. MOSER O.D.
Optometrist
500 SW 44TH ST
OKLAHOMA CITY, OK 73109
Oklahoma County (405) 632-6688
MS. JULIA LOUISE WALTER RN, ARNP
Nurse Practitioner (Pediatrics)
500 SW 44TH ST
OKLAHOMA CITY, OK 73109
Oklahoma County (405) 632-6688
JENNIFER LEE UNRUH ARNP
Nurse Practitioner
500 SW 44TH ST
OKLAHOMA CITY, OK 73109
Oklahoma County (405) 632-6688
SUSANA MAKINTUBEE B.A., CM
Counselor (Mental Health)
500 SW 44TH ST
OKLAHOMA CITY, OK 73109
Oklahoma County (405) 632-6688
MRS. ALEXIS SHELTON APRN, FNP-C
Nurse Practitioner (Family)
500 SW 44TH ST
OKLAHOMA CITY, OK 73109
Oklahoma County (405) 632-6688

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 Nipun Kotha's NPI number?

The NPI number for Nipun Kotha is 1043443013. It was assigned to this individual provider in the NPPES registry on August 25, 2009.

Where is Nipun Kotha located?

Nipun Kotha practices at 500 SW 44th St, Oklahoma City, OK 73109. The listed phone number is (405) 632-6688.

What is Nipun Kotha's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Nipun Kotha enrolled in Medicare?

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

Which organization bills Medicare for Nipun Kotha's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nipun Kotha reassigns Medicare benefits to Variety Care, Inc. (Oklahoma City, OK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nipun Kotha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nipun Kotha accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 12 other insurers list Nipun Kotha as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nipun Kotha was last updated on May 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.