DR. SUNIL KOTHARI M.D.
NPI 1053351957
Physical Medicine & Rehabilitation in Houston, TX

Active since June 08, 2006PECOS EnrolledAccepts Medicare Assignment
91.34/100
CMS Quality Rating
1333 MOURSUND ST, HOUSTON, TX 77030(713) 797-5238(713) 797-5241 Get Directions Write a Review

NPPES record last updated: November 10, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sunil Kothari M.d. NPPES

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

DR. SUNIL KOTHARI M.D. (NPI 1053351957) is an individual physical medicine & rehabilitation provider in Houston, Texas, licensed in Texas (K1228) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At Houston (1995).

NPPES Registry Identity

NPI1053351957
Entity TypeIndividualMale
Primary Taxonomy208100000X
Provider Legal NameDR. SUNIL KOTHARICredential: M.D.
Location Address1333 MOURSUND STHouston, TX 77030-3405
Mailing AddressPo Box 200903Houston, TX 77216-0903 · (281) 252-9993 · Fax (281) 252-9997
Fax(713) 797-5241
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 1995
Enumeration DateJune 8, 2006
Last NPPES UpdateNovember 10, 2010
NPI 1053351957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License Licensed in TX · K1228
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
1333 MOURSUND ST, Houston, TX 77030

Other Identifiers 2

Medicare ID-Type Unspecified8938K1TX
Medicare PINTXB102184TX

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Sunil Kothari M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486785144
PECOS Enrollment IDI20100624000957
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
90 services50 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
60 services27 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.64
Promoting Interoperability89.13
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Commode chair, mobile or stationary, with detachable arms E0165
DME-Other DME · category DE000N
1 supplier12 claims12 services$8.28 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Rehabilitation Hospital
1333 MOURSUND ST
HOUSTON, TX 77030
Physical Therapist
1333 MOURSUND ST
HOUSTON, TX 77030
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1333 MOURSUND ST, TIRR PHARMACY
HOUSTON, TX 77030
Physical Medicine & Rehabilitation
1333 MOURSUND ST
HOUSTON, TX 77030
Speech-Language Pathologist
1333 MOURSUND ST
HOUSTON, TX 77030
Physical Medicine & Rehabilitation
1333 MOURSUND ST
HOUSTON, TX 77030
Nurse Practitioner (Family)
1333 MOURSUND ST
HOUSTON, TX 77030
Physical Medicine & Rehabilitation
1333 MOURSUND ST
HOUSTON, TX 77030

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 Sunil Kothari's NPI number?

The NPI number for Sunil Kothari is 1053351957. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Sunil Kothari located?

Sunil Kothari practices at 1333 Moursund St, Houston, TX 77030. The listed phone number is (713) 797-5238.

What is Sunil Kothari's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Sunil Kothari enrolled in Medicare?

Yes. Sunil Kothari is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sunil Kothari accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Sunil Kothari 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 Sunil Kothari was last updated on November 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.