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PRAVEENA R KOTHUR M.D.
NPI 1114973179
Allergy & Immunology in Glendale, AZ

Active since May 25, 2006PECOS EnrolledAccepts Medicare Assignment
6003 W THUNDERBIRD RD STE 1, GLENDALE, AZ 85306(602) 805-3129(888) 355-6609 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 8, 2025, Jan 2, 2024, Jan 3, 2020 (3 updates tracked since 2020).

About Praveena R Kothur M.d. NPPES

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

PRAVEENA R KOTHUR M.D. (NPI 1114973179) is an individual allergy & immunology provider in Glendale, Arizona, licensed in Arizona (30666) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Sun City West, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1114973179
Entity TypeIndividualFemale
Primary Taxonomy207K00000X
Provider Legal NamePRAVEENA R KOTHURCredential: M.D.
Location Address6003 W THUNDERBIRD RD STE 1Glendale, AZ 85306-4004
Mailing AddressPo Box 5148Glendale, AZ 85312-5148 · (602) 805-3129 · Fax (888) 355-6609
Phone(602) 805-3129
Fax(888) 355-6609
Sole ProprietorYes
Medical School CMSOtherGraduated 1989
Enumeration DateMay 25, 2006
Last NPPES UpdateJuly 25, 20253 updates tracked since enumeration
NPPES CertifiedJuly 25, 2025
✔ NPI 1114973179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License✔ Licensed in AZ · 30666
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
6003 W THUNDERBIRD RD STE 1, Glendale, AZ 85306
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Other Names 1

Professional Name (2)Praveena R Kothur Md

Secondary Practice Location 1

Location 114418 W Meeker Blvd Ste 105Sun City West, AZ 85375-5290 · Phone (602) 805-3129 · Fax (888) 355-6609

Other Identifiers 1

Medicaid792053AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and more.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

Praveena R Kothur 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 ID1557446556
PECOS Enrollment IDI20110119000693
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 9

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.

Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
1,327 services26 patients
Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
430 services20 patients
Test for allergy using allergenic extract injected into skin 95024
An allergy skin test involves injecting a small amount of allergenic extract into your skin. This test helps determine if you're allergic to specific substances. If allergic, a small red bump appears at the test site. It's safe and quick.
367 services16 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
228 services24 patients
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.
63 services44 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.
22 services22 patients

Referred Medical Equipment & Supplies CMS DME claims 4

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
1 supplier13 claims52 services$17.69 avg. paid by Medicare
Injection, immune globulin (xembify), 100 mg J1558
Treatment-Injections and Infusions (nononcologic) · category RI008N
2 suppliers13 claims7,500 services$10.70 avg. paid by Medicare
Injection, immune globulin (hizentra), 100 mg J1559
Treatment-Injections and Infusions (nononcologic) · category RI008N
2 suppliers26 claims8,840 services$9.51 avg. paid by Medicare
Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each K0552
DME-Other DME · category DE000N
4 suppliers39 claims248 services$2.37 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

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

AMBER PATRICIA REED
Physician Assistant
6003 W THUNDERBIRD RD STE 1
GLENDALE, AZ 85306
Maricopa County (602) 805-3129

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 Praveena Kothur's NPI number?

The NPI number for Praveena Kothur is 1114973179. It was assigned to this individual provider in the NPPES registry on May 25, 2006. The provider is also known as Praveena R Kothur MD.

Where is Praveena Kothur located?

Praveena Kothur practices at 6003 W Thunderbird Rd Ste 1, Glendale, AZ 85306. The listed phone number is (602) 805-3129.

What is Praveena Kothur's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Praveena Kothur enrolled in Medicare?

Yes. Praveena Kothur 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 Praveena Kothur accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Praveena Kothur 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 Praveena Kothur was last updated on July 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.