Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. DHRUVA KUMAR KOTHARI M.D.
NPI 1063771574
Internal Medicine in Worcester, MA

Active since May 04, 2012PECOS EnrolledAccepts Medicare Assignment
100 GROVE ST STE 115, WORCESTER, MA 01605(833) 904-0620 Get Directions Write a Review

NPPES record last updated: September 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 24, 2026, May 17, 2023, Dec 9, 2015 (3 updates tracked since 2015).

About Dr. Dhruva Kumar Kothari M.d. NPPES

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

DR. DHRUVA KUMAR KOTHARI M.D. (NPI 1063771574) is an individual internal medicine provider in Worcester, Massachusetts, licensed in Massachusetts (264182) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, maintains 8 additional practice locations, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1063771574
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. DHRUVA KUMAR KOTHARICredential: M.D.
Location Address100 GROVE ST STE 115Worcester, MA 01605-2630
Mailing Address100 Grove St Ste 115Worcester, MA 01605-2630
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMay 4, 2012
Last NPPES UpdateSeptember 24, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2026
✔ NPI 1063771574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MA · 264182
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
100 GROVE ST STE 115, Worcester, MA 01605

Secondary Practice Locations 8

Location 11259 Bedford AveBrooklyn, NY 11216-1813 · Phone (833) 904-2273
Location 2500 E Main St Ste 105Columbus, OH 43215-5619 · Phone (833) 904-2273
Location 326026 W 12 Mile Rd Ste 202Southfield, MI 48034-1783 · Phone (833) 904-2273
Location 415416 N Florida Ave Ste 203Tampa, FL 33613-1239 · Phone (833) 904-2273
Location 54444 The Plz Unit 18Charlotte, NC 28215-2189 · Phone (336) 360-2407
Location 6495 Flatbush Ave Ste C5Brooklyn, NY 11225-3782 · Phone (833) 904-2273
Location 716115 LaSalle StreetSouth Holland, IL 60473 · Phone (833) 904-2273
Location 82301 N Meridian StIndianapolis, IN 46208-5729 · Phone (833) 904-2273

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Dhruva Kumar 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 ID6305149154
PECOS Enrollment IDI20260526001266
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 Reassignments

3

Medicare enrollment records show Dhruva Kothari reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
546 EASTERN PKWY FL 1
Brooklyn, NY 11225
  • Reassigned Medicare billing, New York enrollment
  • 20 clinicians in this Medicare group
Primary Care
6100 E MAIN ST STE 110
Columbus, OH 43213
  • Reassigned Medicare billing, Ohio enrollment
  • 62 clinicians in this Medicare group
Internal Medicine
2620 KESSLER BOULEVARD EAST DR STE 110
Indianapolis, IN 46220
  • Reassigned Medicare billing, Florida, Illinois, Indiana, Massachusetts, Michigan and North Carolina enrollments
  • Medicare enrollment name: Cityblock Medical Practice PA
  • 41 clinicians in this Medicare group

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 01605 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

Other Providers at the Same Location NPPES 9

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

Nurse Practitioner (Family)
100 GROVE ST STE 115
WORCESTER, MA 01605
Nurse Practitioner (Family)
100 GROVE ST STE 115
WORCESTER, MA 01605
Nurse Practitioner
100 GROVE ST STE 115
WORCESTER, MA 01605
Nurse Practitioner (Adult Health)
100 GROVE ST STE 115
WORCESTER, MA 01605
Social Worker (Clinical)
100 GROVE ST STE 115
WORCESTER, MA 01605
Nurse Practitioner (Family)
100 GROVE ST STE 115
WORCESTER, MA 01605
Nurse Practitioner (Adult Health)
100 GROVE ST STE 115
WORCESTER, MA 01605
Nurse Practitioner
100 GROVE ST STE 115
WORCESTER, MA 01605

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 Dhruva Kothari's NPI number?

The NPI number for Dhruva Kothari is 1063771574. It was assigned to this individual provider in the NPPES registry on May 4, 2012.

Where is Dhruva Kothari located?

Dhruva Kothari practices at 100 Grove St Ste 115, Worcester, MA 01605. The listed phone number is (833) 904-0620.

What is Dhruva Kothari's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Dhruva Kothari enrolled in Medicare?

Yes. Dhruva 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.

Which organizations bill Medicare for Dhruva Kothari's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dhruva Kothari reassigns Medicare benefits to 3 organizations: Oluwatoyin Ajayi Medical Practice, PC (Brooklyn, NY), Cityblock Medical Practice, LLC (Columbus, OH) and Cityblock Medical Practice, P.A. (Indianapolis, IN). Each 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 Dhruva Kothari's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dhruva Kothari was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.