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RADHA KRISHNA KOTHAPALLI MD
NPI 1083963128
Hospitalist in Mesa, AZ

Active since September 05, 2012PECOS EnrolledAccepts Medicare Assignment
95.64/100
CMS Quality Rating
1400 S DOBSON ROAD, ATTN BMG HOSPITALIST TEAM/AMANDA GUMP, MESA, AZ 85202(480) 412-6788(480) 412-6848 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Radha Krishna Kothapalli Md NPPES

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

RADHA KRISHNA KOTHAPALLI MD (NPI 1083963128) is an individual hospitalist provider in Mesa, Arizona, licensed in Arizona (69209) and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1083963128
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameRADHA KRISHNA KOTHAPALLICredential: MD
Location Address1400 S DOBSON ROAD, ATTN BMG HOSPITALIST TEAM/AMANDA GUMPMesa, AZ 85202
Mailing Address1400 S Dobson Road, Attn Bmg Hospitalist Team/amanda GumpMesa, AZ 85202 · (480) 412-6788 · Fax (480) 412-6848
Phone(480) 412-6788
Fax(480) 412-6848
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateSeptember 5, 2012
Last NPPES UpdateJuly 29, 2025
✔ NPI 1083963128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in AZ · 69209
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD449838 (PA), 69209 (AZ)
1400 S DOBSON ROAD, Mesa, AZ 85202
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.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

Radha Krishna Kothapalli Md 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 ID9830326909
PECOS Enrollment IDI20241205003318
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 6

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 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.
544 services227 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
183 services177 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.
158 services154 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
94 services94 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.
76 services50 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85202 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

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.

95.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.57
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers23 claims23 services$13.19 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier20 claims20 services$3.29 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier29 claims29 services$59.98 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.

YURY FOMIN MD
Hospitalist
1400 S DOBSON ROAD
MESA, AZ 85202
Maricopa County (480) 412-6788
MOUHSEN H ALHAKEEM MD
Internal Medicine (Critical Care Medicine)
1400 S DOBSON ROAD, ATTN AMANDA GUMP/HOSPITALIST
MESA, AZ 85202
Maricopa County (480) 412-6788
MR. ERIC DONG D.O.
Hospitalist
1400 S DOBSON ROAD
MESA, AZ 85202
Maricopa County (480) 412-6788
MR. SAI PRASHANTH HARANATH M.D.
Internal Medicine
1400 S DOBSON ROAD, ATTN AMANDA GUMP/ HOSPITALISTS
MESA, AZ 85202
Maricopa County (480) 543-2034
DR. TRACY ERIN MCNAMARA DO
Hospitalist
1400 S DOBSON ROAD
MESA, AZ 85202
Maricopa County (480) 412-6788
AARON EMBDEN FLEGENHEIMER MD
Internal Medicine
1400 S DOBSON ROAD
MESA, AZ 85202
Maricopa County (480) 412-6788
SLAVKO ALEKSIS DO
Internal Medicine
1400 S DOBSON ROAD
MESA, AZ 85202
Maricopa County (480) 412-6788
DR. SRIKANT KUMAR MD
Hospitalist
1400 S DOBSON ROAD
MESA, AZ 85202
Maricopa County (480) 412-6788

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 Radha Kothapalli's NPI number?

The NPI number for Radha Kothapalli is 1083963128. It was assigned to this individual provider in the NPPES registry on September 5, 2012.

Where is Radha Kothapalli located?

Radha Kothapalli practices at 1400 S Dobson Road Attn Bmg Hospitalist Team/Amanda Gump, Mesa, AZ 85202. The listed phone number is (480) 412-6788.

What is Radha Kothapalli's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Radha Kothapalli enrolled in Medicare?

Yes. Radha Kothapalli 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 Radha Kothapalli accept?

Health plans from Blue Cross Blue Shield of Arizona list Radha Kothapalli 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 Radha Kothapalli was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.