KETAN HASHMUKH KOTHARI DPM
NPI 1134280795
Podiatrist - Primary Podiatric Medicine in Philadelphia, PA

Active since December 13, 2006PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
1546 PRATT STREET, PHILADELPHIA, PA 19124(215) 533-8555(215) 533-8656 Get Directions Write a Review

NPPES record last updated: July 4, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ketan Hashmukh Kothari Dpm NPPES

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

KETAN HASHMUKH KOTHARI DPM (NPI 1134280795) is an individual primary podiatric medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SC004645L) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Jefferson Health- Northeast, and is a graduate of New York College Of Podiatric Medicine (1998).

NPPES Registry Identity

NPI1134280795
Entity TypeIndividualMale
Primary Taxonomy213EP1101X
Provider Legal NameKETAN HASHMUKH KOTHARICredential: DPM
Location Address1546 PRATT STREETPhiladelphia, PA 19124-1923
Mailing Address1546 Pratt StreetPhiladelphia, PA 19124-1923 · (215) 533-8555 · Fax (215) 533-8656
Fax(215) 533-8656
Sole ProprietorNo
Medical School CMSNew York College Of Podiatric MedicineGraduated 1998
Enumeration DateDecember 13, 2006
Last NPPES UpdateJuly 4, 2010
NPI 1134280795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Primary Podiatric MedicinePodiatric Medicine & Surgery Service Providers
Taxonomy Code213EP1101X
License Licensed in PA · SC004645L
1546 PRATT STREET, Philadelphia, PA 19124

Other Identifiers 10

OtherU81914United
Other30004716PA · Keystone Mercy
Medicare UPINU81914
Medicaid0018311680001PA
Other246839PA · First Health
Other480032950Rail Road Medicare
Other3075350PA · Aetna
Medicare ID-Type Unspecified042414HY7PA
OtherU8914Health Partners
OtherK0830767PA · Blue Shield

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

Ketan Hashmukh Kothari Dpm 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 ID6406049303
PECOS Enrollment IDI20101025000150
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 7

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.
534 services206 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
310 services100 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
85 services23 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
75 services15 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
60 services16 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
45 services45 patients

Hospital Affiliations CMS Care Compare

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

Jefferson Health- Northeast

Acute Care Hospitals · Philadelphia, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390115
Location10800 Knights RoadPhiladelphia, PA 19114 · Philadelphia County
Emergency services

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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

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 Ketan Kothari's NPI number?

The NPI number for Ketan Kothari is 1134280795. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Where is Ketan Kothari located?

Ketan Kothari practices at 1546 Pratt Street, Philadelphia, PA 19124. The listed phone number is (215) 533-8555.

What is Ketan Kothari's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

Is Ketan Kothari enrolled in Medicare?

Yes. Ketan Kothari 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.

Is Ketan Kothari affiliated with any hospitals?

According to CMS data, Ketan Kothari is affiliated with Jefferson Health- Northeast.

When was this NPI record last updated?

The NPPES record for Ketan Kothari was last updated on July 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.