VIKRAM S KOTWAL M.D
NPI 1215267596
Internal Medicine - Gastroenterology in Decatur, IL

Q: What is Vikram Kotwal's NPI number?

The NPI number for Vikram Kotwal is 1215267596. It was assigned to this individual provider in the NPPES registry on January 8, 2010.

Q: What is Vikram Kotwal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Vikram Kotwal was last updated on July 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 January 08, 2010PECOS EnrolledAccepts Medicare Assignment

84.57/100

CMS Quality Rating

1750 E LAKE SHORE DR, SUITE 310, DECATUR, IL 62521(217) 464-1220(217) 464-1229 Get Directions Write a Review

NPPES record last updated: July 10, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Vikram S Kotwal M.d NPPES

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

VIKRAM S KOTWAL M.D (NPI 1215267596) is an individual gastroenterology provider in Decatur, Illinois, licensed in Illinois (036-126060) and active in the NPI registry since January 2010. He is enrolled in Medicare PECOS, is affiliated with John H Stroger Jr Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1215267596

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameVIKRAM S KOTWALCredential: M.D

Location Address1750 E LAKE SHORE DR, SUITE 310Decatur, IL 62521-3803

Mailing Address1750 E Lake Shore Dr, Suite 310Decatur, IL 62521-3803 · (217) 464-1220 · Fax (217) 464-1229

Phone(217) 464-1220

Fax(217) 464-1229

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateJanuary 8, 2010

Last NPPES UpdateJuly 10, 2013

✔ NPI 1215267596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in IL · 036-126060

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 125.052336 (IL)

1750 E LAKE SHORE DR, Decatur, IL 62521

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Vikram S Kotwal 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 ID9436334638

PECOS Enrollment IDI20110504000219

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.

Medicare Billing Reassignments

Medicare enrollment records show Vikram Kotwal reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cook County

135 mi

Primary Care

1645 COTTAGE GROVE AVE
Ford Heights, IL 60411

Reassigned Medicare billing, Illinois enrollment
1,047 clinicians in this Medicare group

NPI 1760502439 (708) 753-5800

Rush University Medical Center

149 mi

Internal Medicine

2011 YORK ROAD, 2ND FLOOR
Oak Brook, IL 60523

Reassigned Medicare billing, Illinois enrollment
Medicare enrollment name: Rush University Medical Group
2,169 clinicians in this Medicare group

NPI 1801375696 (630) 724-1310

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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 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.

27 services24 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

18 services18 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.

16 services16 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

John H Stroger Jr Hospital

Acute Care Hospitals · Chicago, IL

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number140124

Location1901 W Harrison StChicago, IL 60612 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62521 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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

84.57/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

60.25

Promoting Interoperability

100

Improvement Activities

Cost

Other Providers at the Same Location NPPES 15

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

JATOI CLINIC, LTD.

Medical Genetics, Ph.D. Medical Genetics

1750 E LAKE SHORE DR, SUITE 100
DECATUR, IL 62521

Macon County (217) 464-2505

JOHN JOSEPH WHITE MD

Surgery

1750 E LAKE SHORE DR, STE 200
DECATUR, IL 62521

Macon County (217) 428-6300

DR. KEITH LEWIS FABRIQUE MD

Preventive Medicine (Occupational Medicine)

1750 E LAKE SHORE DR, LOWER LEVEL
DECATUR, IL 62521

Macon County (217) 425-2732

ANTONIANNETTE PATE FNP-C

Nurse Practitioner (Family)

1750 E LAKE SHORE DR
DECATUR, IL 62521

Macon County (217) 464-1440

DR. JON FREDRICK PETERSEN M.D.

Preventive Medicine (Occupational Medicine)

1750 E LAKE SHORE DR
DECATUR, IL 62521

Macon County (217) 464-1440

EMILYE JESSICA GRANT PHYSICIAN ASSISTANT

Physician Assistant

1750 E LAKE SHORE DR
DECATUR, IL 62521

Macon County (217) 464-1750

DR. VIKRAM BARPUJARI M.D.

Internal Medicine (Gastroenterology)

1750 E LAKE SHORE DR, SUITE 310
DECATUR, IL 62521

Macon County (217) 464-1220

DR. DAVID W HAYMES JR. MD

Plastic Surgery

1750 E LAKE SHORE DR, SUITE 300
DECATUR, IL 62521

Macon County (217) 464-1050

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 Vikram Kotwal's NPI number?

The NPI number for Vikram Kotwal is 1215267596. It was assigned to this individual provider in the NPPES registry on January 8, 2010.

Where is Vikram Kotwal located?

Vikram Kotwal practices at 1750 E Lake Shore Dr Suite 310, Decatur, IL 62521. The listed phone number is (217) 464-1220.

What is Vikram Kotwal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Vikram Kotwal enrolled in Medicare?

Yes. Vikram 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.

Which organizations bill Medicare for Vikram Kotwal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vikram Kotwal reassigns Medicare benefits to 2 organizations: Cook County (Ford Heights, IL) and Rush University Medical Center (Oak Brook, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Vikram Kotwal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vikram Kotwal accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Vikram 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 Vikram Kotwal affiliated with any hospitals?

According to CMS data, Vikram Kotwal is affiliated with John H Stroger Jr Hospital.

When was this NPI record last updated?

The NPPES record for Vikram Kotwal was last updated on July 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.