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VANI KOTHA M.D
NPI 1124233846
Internal Medicine - Endocrinology, Diabetes & Metabolism in Bedford, TX

Active since May 14, 2007PECOS EnrolledAccepts Medicare Assignment
94.63/100
CMS Quality Rating
1615 HOSPITAL PKWY STE 202, BEDFORD, TX 76022(817) 786-8686(866) 869-0489 Get Directions Write a Review

NPPES record last updated: October 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vani Kotha M.d NPPES

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

VANI KOTHA M.D (NPI 1124233846) is an individual endocrinology, diabetes & metabolism provider in Bedford, Texas, licensed in Texas (M6242) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Texas Health Harris Methodist Hurst-euless-bedford, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1124233846
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameVANI KOTHACredential: M.D
Location Address1615 HOSPITAL PKWY STE 202Bedford, TX 76022-5935
Mailing Address1615 Hospital Pkwy Ste 202Bedford, TX 76022-5935 · (817) 786-8686 · Fax (866) 869-0489
Phone(817) 786-8686
Fax(866) 869-0489
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateMay 14, 2007
Last NPPES UpdateOctober 17, 2020
NPPES CertifiedOctober 17, 2020
✔ NPI 1124233846 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 TX · M6242
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.
1615 HOSPITAL PKWY STE 202, Bedford, TX 76022
Open in Google Maps ↗

Other Identifiers 1

Medicaid186267402TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Vani Kotha 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 ID6305939455
PECOS Enrollment IDI20070905000379
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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
1,320 services182 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.
674 services323 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
507 services162 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
255 services112 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.
150 services104 patients
Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month 99426
Principal care management services focus on managing a single high-risk disease. This involves a health care professional directing clinical staff for the first 30 minutes each month. The aim is to monitor your health, coordinate care, and provide necessary support for your disease management.
135 services41 patients

Hospital Affiliations CMS Care Compare

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

Texas Health Harris Methodist Hurst-Euless-Bedford

Acute Care Hospitals · Bedford, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450639
Location1600 Hospital ParkwayBedford, TX 76022 · Tarrant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76022 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
$129.63 typical visit price
range $56.47 – $171.07
Typical copayment $32.40 (range $14.11 – $42.76)
Most-billed visit code 99204
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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.

94.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality90.24
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Controlling High Blood Pressure
97%713 patients4/55-star benchmark: 98%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation
100%1,083 patients5/55-star benchmark: 100%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear
100%1,083 patients5/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
32%882 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%4,033 patients4/55-star benchmark: 100%
e-Prescribing
99%2,212 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%2,222 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%960 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.

Referred Medical Equipment & Supplies CMS DME claims 10

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
9 suppliers66 claims842 services$18.28 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
9 suppliers66 claims2,044 services$2.35 avg. paid by Medicare
Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
2 suppliers22 claims22 services$174.59 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
48 suppliers184 claims729 services$6.41 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
1 supplier15 claims15 services$2.95 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
15 suppliers48 claims84 services$1.17 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 2

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

BEDFORD ENDOCRINOLOGY PLLC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1615 HOSPITAL PKWY STE 202
BEDFORD, TX 76022
Tarrant County (301) 326-8646
TARRANT ENDOCRINE ASSOCIATES, PLLC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1615 HOSPITAL PKWY STE 202
BEDFORD, TX 76022
Tarrant County (817) 684-5175

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 Vani Kotha's NPI number?

The NPI number for Vani Kotha is 1124233846. It was assigned to this individual provider in the NPPES registry on May 14, 2007.

Where is Vani Kotha located?

Vani Kotha practices at 1615 Hospital Pkwy Ste 202, Bedford, TX 76022. The listed phone number is (817) 786-8686.

What is Vani Kotha's specialty?

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

Is Vani Kotha enrolled in Medicare?

Yes. Vani Kotha 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 Vani Kotha accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Vani Kotha 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 Vani Kotha affiliated with any hospitals?

According to CMS data, Vani Kotha is affiliated with Texas Health Harris Methodist Hurst-Euless-Bedford.

When was this NPI record last updated?

The NPPES record for Vani Kotha was last updated on October 17, 2020. 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.