SORABH KOTHARI MD
NPI 1154777167
Internal Medicine - Cardiovascular Disease in Tucker, GA

Q: What is Sorabh Kothari's NPI number?

The NPI number for Sorabh Kothari is 1154777167. It was assigned to this individual provider in the NPPES registry on May 9, 2016.

Q: What is Sorabh Kothari's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Sorabh Kothari was last updated on March 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 09, 2016PECOS EnrolledAccepts Medicare Assignment

1468 MONTREAL RD, TUCKER, GA 30084(770) 638-1400 Get Directions Write a Review

NPPES record last updated: March 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 29, 2021, Jun 23, 2019, May 9, 2016 (3 updates tracked since 2016).

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About Sorabh Kothari Md NPPES

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

SORABH KOTHARI MD (NPI 1154777167) is an individual cardiovascular disease provider in Tucker, Georgia, licensed in Georgia (98548) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Emory Decatur Hospital, and maintains a secondary practice location in Park Ridge.

NPPES Registry Identity

NPI1154777167

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameSORABH KOTHARICredential: MD

Location Address1468 MONTREAL RDTucker, GA 30084-6901

Mailing Address1468 Montreal RdTucker, GA 30084-6901 · (770) 638-1400

Phone(770) 638-1400

Sole ProprietorNo

Medical School CMSChicago College Of Medicine And SurgeryGraduated 2012

Enumeration DateMay 9, 2016

Last NPPES UpdateMarch 12, 20243 updates tracked since enumeration

NPPES CertifiedMarch 12, 2024

✔ NPI 1154777167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Licenses✔ Licensed in GA · 98548✔ Licensed in IL · 036147652

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal MedicineTaxonomy 207R00000X · License 036147652 (IL)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1468 MONTREAL RD, Tucker, GA 30084

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Secondary Practice Location 1

Location 11875 W Dempster St Ste 525Park Ridge, IL 60068-1130 · Phone (847) 698-3600

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

Sorabh Kothari 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 ID7012204118

PECOS Enrollment IDI20241206001237

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.

Hospital Affiliations CMS Care Compare 4

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

Emory Decatur Hospital

Acute Care Hospitals · Decatur, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110076

Location2701 N Decatur RoadDecatur, GA 30033 · De Kalb County

Emergency services Birthing friendly

Saint Joseph's Hospital Of Atlanta, Inc

Acute Care Hospitals · Atlanta, GA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110082

Location5665 Peachtree Dunwoody RoadAtlanta, GA 30342 · Fulton County

Emergency services

Emory Hillandale Hospital

Acute Care Hospitals · Lithonia, GA

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110226

Location2801 Dekalb Medical ParkwayLithonia, GA 30058 · De Kalb County

Emergency services

Emory Johns Creek Hospital

Acute Care Hospitals · Johns Creek, GA

3/5 CMS rating

OwnershipProprietary

CMS Certification Number110230

Location6325 Hospital ParkwayJohns Creek, GA 30097 · Gwinnett County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30084 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

$130.64 typical visit price

range $56.84 – $172.43

Typical copayment $32.66 (range $14.21 – $43.10)

Most-billed visit code 99204

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. SETH CHRISTIAN FAKESS D.O.

Internal Medicine (Cardiovascular Disease)