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DR. DHIRAJ KUMAR KOTWAL MD
NPI 1205918851
Internal Medicine - Infectious Disease in Frisco, TX

Active since October 20, 2006PECOS EnrolledAccepts Medicare Assignment
70.2/100
CMS Quality Rating
5350 INDEPENDENCE PKWY STE 120, FRISCO, TX 75035(214) 396-8877(214) 983-0983 Get Directions Write a Review

NPPES record last updated: September 27, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Dhiraj Kumar Kotwal Md NPPES

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

DR. DHIRAJ KUMAR KOTWAL MD (NPI 1205918851) is an individual infectious disease provider in Frisco, Texas, licensed in Texas (M8773) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Hunt Regional Medical Center, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1205918851
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. DHIRAJ KUMAR KOTWALCredential: MD
Location Address5350 INDEPENDENCE PKWY STE 120Frisco, TX 75035
Mailing Address5350 Independence Pkwy Ste 120Frisco, TX 75035 · (214) 396-8877 · Fax (214) 983-0983
Phone(214) 396-8877
Fax(214) 983-0983
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateOctober 20, 2006
Last NPPES UpdateSeptember 27, 2016
✔ NPI 1205918851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in TX · M8773
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
5350 INDEPENDENCE PKWY STE 120, Frisco, TX 75035
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Other Identifiers 1

Medicare UPIN8L7998TX

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

Dr. Dhiraj Kumar Kotwal 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 ID4587752035
PECOS Enrollment IDI20090223000104
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
1,723 services466 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.
591 services316 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
468 services392 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
116 services97 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.
78 services43 patients

Hospital Affiliations CMS Care Compare 5

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

Hunt Regional Medical Center

Acute Care Hospitals · Greenville, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450352
Location4215 Joe Ramsey Blvd EGreenville, TX 75401 · Hunt County
Emergency services Birthing friendly

Medical Center Of Mckinney

Acute Care Hospitals · Mckinney, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450403
Location4500 Medical Center DriveMckinney, TX 75069 · Collin County
Emergency services Birthing friendly

Texas Health Presbyterian Hospital Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450771
Location6200 W Parker RdPlano, TX 75093 · Collin County
Emergency services Birthing friendly

Texas Health Presbyterian Hospital Rockwall

Acute Care Hospitals · Rockwall, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number670044
Location3150 Horizon RoadRockwall, TX 75032 · Rockwall County
Emergency services

Baylor Scott And White Medical Center Mckinney

Acute Care Hospitals · Mc Kinney, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670082
Location5252 West University DriveMc Kinney, TX 75071 · Collin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75035 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

70.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality94.94
Improvement Activities0
Cost79.7

Other Providers at the Same Location NPPES 4

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

MARCOS MARTINEZ DO PA
Internal Medicine (Infectious Disease)
5350 INDEPENDENCE PKWY STE 120
FRISCO, TX 75035
Collin County (214) 396-8877
NORTH TEXAS ID PA
Internal Medicine (Infectious Disease)
5350 INDEPENDENCE PKWY STE 120
FRISCO, TX 75035
Collin County (214) 396-8877
DINA NAOMI TORTEN MD
Internal Medicine (Infectious Disease)
5350 INDEPENDENCE PKWY STE 120
FRISCO, TX 75035
Collin County (214) 396-8877
DINA TORTEN MD PA
Internal Medicine (Infectious Disease)
5350 INDEPENDENCE PKWY STE 120
FRISCO, TX 75035
Collin County (214) 396-8877

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 Dhiraj Kotwal's NPI number?

The NPI number for Dhiraj Kotwal is 1205918851. It was assigned to this individual provider in the NPPES registry on October 20, 2006.

Where is Dhiraj Kotwal located?

Dhiraj Kotwal practices at 5350 Independence Pkwy Ste 120, Frisco, TX 75035. The listed phone number is (214) 396-8877.

What is Dhiraj Kotwal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Dhiraj Kotwal enrolled in Medicare?

Yes. Dhiraj 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 Dhiraj Kotwal 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 3 other insurers list Dhiraj 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 Dhiraj Kotwal affiliated with any hospitals?

According to CMS data, Dhiraj Kotwal is affiliated with Hunt Regional Medical Center, Medical Center Of Mckinney, Texas Health Presbyterian Hospital Plano, Texas Health Presbyterian Hospital Rockwall and Baylor Scott And White Medical Center Mckinney.

When was this NPI record last updated?

The NPPES record for Dhiraj Kotwal was last updated on September 27, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.