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REVATHI KOTLA MD
NPI 1063506434
Internal Medicine - Nephrology in Short Hills, NJ

Active since October 03, 2006PECOS Enrolled
61 JOANNA WAY, SHORT HILLS, NJ 07078(973) 758-1650 Get Directions Write a Review

NPPES record last updated: April 26, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Revathi Kotla Md NPPES

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

REVATHI KOTLA MD (NPI 1063506434) is an individual nephrology provider in Short Hills, New Jersey, licensed in New Jersey (MA64664) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Baton Rouge.

NPPES Registry Identity

NPI1063506434
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameREVATHI KOTLACredential: MD
Location Address61 JOANNA WAYShort Hills, NJ 07078-3206
Mailing Address61 Joanna WayShort Hills, NJ 07078-3206 · (973) 758-1650
Phone(973) 758-1650
Sole ProprietorYes
Enumeration DateOctober 3, 2006
Last NPPES UpdateApril 26, 2021
NPPES CertifiedApril 26, 2021
✔ NPI 1063506434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses✔ Licensed in NJ · MA64664✔ Licensed in LA · 325921
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
61 JOANNA WAY, Short Hills, NJ 07078
Open in Google Maps ↗

Secondary Practice Location 1

Location 116777 Medical Center DrBaton Rouge, LA 70816-3254 · Phone (225) 754-3289 · Fax (225) 754-3277

Other Identifiers 1

Medicaid7697805NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Revathi Kotla Md 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 Revathi Kotla reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Revathi Kotla MD PC
6.1 mi
Nephrology
623 EAGLE ROCK AVE
West Orange, NJ 07052
  • Reassigned Medicare billing, New Jersey enrollment
NPI 1609343672 (973) 736-0687

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

Areas of Expertise CMS Part B claims 4

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 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.
559 services143 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
334 services94 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
111 services95 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
51 services42 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07078 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Revathi Kotla's NPI number?

The NPI number for Revathi Kotla is 1063506434. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Revathi Kotla located?

Revathi Kotla practices at 61 Joanna Way, Short Hills, NJ 07078. The listed phone number is (973) 758-1650.

What is Revathi Kotla's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Revathi Kotla enrolled in Medicare?

Yes. Revathi Kotla is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Revathi Kotla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Revathi Kotla reassigns Medicare benefits to Revathi Kotla MD PC (West Orange, NJ). 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 Revathi Kotla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Revathi Kotla accept?

Health plans from Oscar Health list Revathi Kotla 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 Revathi Kotla was last updated on April 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.