DR. PREMA KOTHANDARAMAN M.D.
NPI 1073556064
Obstetrics & Gynecology in Arcadia, CA

Active since June 14, 2006PECOS EnrolledAccepts Medicare Assignment
88.07/100
CMS Quality Rating
51 N 5TH AVE STE 204, ARCADIA, CA 91006(626) 358-1970 Get Directions Write a Review

NPPES record last updated: February 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Prema Kothandaraman M.d. NPPES

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

DR. PREMA KOTHANDARAMAN M.D. (NPI 1073556064) is an individual obstetrics & gynecology provider in Arcadia, California, licensed in California (A82019) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1073556064
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. PREMA KOTHANDARAMANCredential: M.D.
Location Address51 N 5TH AVE STE 204Arcadia, CA 91006-3711
Mailing Address51 N 5th Ave Ste 204Arcadia, CA 91006-3711 · (626) 358-1970
Sole ProprietorYes
Medical School CMSOtherGraduated 1987
Enumeration DateJune 14, 2006
Last NPPES UpdateFebruary 18, 2021
NPPES CertifiedFebruary 18, 2021
NPI 1073556064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in CA · A82019
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
51 N 5TH AVE STE 204, Arcadia, CA 91006

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. Prema Kothandaraman 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 ID2163329210
PECOS Enrollment IDI20031216000896
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 18

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
1,305 services294 patients
Insertion of lower leg neurostimulator electrode 64566
The insertion of a lower leg neurostimulator electrode is a procedure where a small device is placed under your skin. This device sends mild electrical signals to nerves in the lower leg, helping to manage chronic pain. It's a safe, minimally invasive procedure.
796 services93 patients
Complete ultrasound scan of pelvis 76856
A complete ultrasound scan of the pelvis is a safe, non-invasive imaging procedure. It uses sound waves to create pictures of your lower abdomen area, helping doctors to evaluate and diagnose any potential issues. It's painless and usually takes about 30 minutes.
206 services199 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
205 services150 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
129 services128 patients
Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies 51729
This procedure helps to measure the pressure inside your bladder while passing fluid. It checks how well your bladder and the tube that carries fluid from your bladder are working. It's important for diagnosing issues with fluid flow and storage.
110 services110 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91006 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

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.

88.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40
Cost44.88

Reported Quality Measures

Advance Care Plan
100%810 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%9,200 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%2,450 patients5/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
100%755 patients5/55-star benchmark: 98%
Urinary Incontinence: Plan of Care for Urinary Incontinence in Women Aged 65 Years and Older
100%485 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

Surgery
51 N 5TH AVE STE 204
ARCADIA, CA 91006
Obstetrics & Gynecology (Gynecology)
51 N 5TH AVE STE 204
ARCADIA, CA 91006
Obstetrics & Gynecology
51 N 5TH AVE STE 204
ARCADIA, CA 91006
Nurse Practitioner (Obstetrics & Gynecology)
51 N 5TH AVE STE 204
ARCADIA, CA 91006

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 Prema Kothandaraman's NPI number?

The NPI number for Prema Kothandaraman is 1073556064. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Prema Kothandaraman located?

Prema Kothandaraman practices at 51 N 5th Ave Ste 204, Arcadia, CA 91006. The listed phone number is (626) 358-1970.

What is Prema Kothandaraman's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Prema Kothandaraman enrolled in Medicare?

Yes. Prema Kothandaraman 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.

When was this NPI record last updated?

The NPPES record for Prema Kothandaraman was last updated on February 18, 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.