ANUPAM KOTWAL M.B.B.S.
NPI 1093156069
Internal Medicine - Endocrinology, Diabetes & Metabolism in Omaha, NE

Active since July 08, 2013PECOS EnrolledAccepts Medicare Assignment
EMILE @ 42ND ST, OMAHA, NE 68198(402) 559-8700 Get Directions Write a Review

NPPES record last updated: July 10, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 10, 2019, May 20, 2016 (2 updates tracked since 2016).

About Anupam Kotwal M.b.b.s. NPPES

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

ANUPAM KOTWAL M.B.B.S. (NPI 1093156069) is an individual endocrinology, diabetes & metabolism provider in Omaha, Nebraska, licensed in Nebraska (31629) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, is affiliated with The Nebraska Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1093156069
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameANUPAM KOTWALCredential: M.B.B.S.
Location AddressEMILE @ 42ND STOmaha, NE 68198-0001
Mailing Address988102 Nebraska Medical CtrOmaha, NE 68198-8102
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 8, 2013
Last NPPES UpdateJuly 10, 20192 updates tracked since enumeration
NPI 1093156069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in NE · 31629
Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

EMILE @ 42ND ST, Omaha, NE 68198

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

Anupam Kotwal M.b.b.s. 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 ID8820220981
PECOS Enrollment IDI20190726002495
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 10

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 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.
68 services64 patients
Ultrasound scan of head and neck soft tissue 76536
An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.
59 services56 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.
54 services45 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.
49 services20 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
34 services34 patients
Fine needle aspiration biopsy using ultrasound guidance, first growth 10005
Fine needle aspiration biopsy with ultrasound guidance is a procedure where a thin needle is inserted into a growth to extract a small sample. Ultrasound helps accurately locate the growth. This sample is then analyzed to determine the nature of the growth.
30 services28 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The Nebraska Medical Center

Acute Care Hospitals · Omaha, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280013
Location987400 Nebraska Medical CenterOmaha, NE 68198 · Douglas County
Emergency services Birthing friendly

Bellevue Medical Center, LLC

Acute Care Hospitals · Bellevue, NE
5/5 CMS rating
OwnershipProprietary
CMS Certification Number280132
Location2500 Bellevue Medical Center DrBellevue, NE 68123 · Sarpy County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68198 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
$121.35 typical visit price
range $52.69 – $160.21
Typical copayment $30.33 (range $13.17 – $40.05)
Most-billed visit code 99204
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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.

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.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers24 claims24 services$185.10 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.

Internal Medicine (Infectious Disease)
EMILE @ 42ND ST
OMAHA, NE 68198
Radiology (Vascular & Interventional Radiology)
EMILE @ 42ND ST
OMAHA, NE 68198
Surgery (Surgical Critical Care)
EMILE @ 42ND ST
OMAHA, NE 68198
Pathology (Anatomic Pathology & Clinical Pathology)
EMILE @ 42ND ST
OMAHA, NE 68198
Physician Assistant
EMILE @ 42ND ST
OMAHA, NE 68198
Internal Medicine (Interventional Cardiology)
EMILE @ 42ND ST
OMAHA, NE 68198
Nurse Practitioner
EMILE @ 42ND ST
OMAHA, NE 68198
Nurse Practitioner (Family)
EMILE @ 42ND ST
OMAHA, NE 68198

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 Anupam Kotwal's NPI number?

The NPI number for Anupam Kotwal is 1093156069. It was assigned to this individual provider in the NPPES registry on July 8, 2013.

Where is Anupam Kotwal located?

Anupam Kotwal practices at Emile @ 42nd St, Omaha, NE 68198. The listed phone number is (402) 559-8700.

What is Anupam Kotwal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Anupam Kotwal enrolled in Medicare?

Yes. Anupam Kotwal 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 Anupam Kotwal accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 3 other insurers list Anupam Kotwal 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.

Is Anupam Kotwal affiliated with any hospitals?

According to CMS data, Anupam Kotwal is affiliated with The Nebraska Medical Center and Bellevue Medical Center, LLC.

When was this NPI record last updated?

The NPPES record for Anupam Kotwal was last updated on July 10, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.