MRS. SUDHARANI SUBBA KOTHA MD
NPI 1316028590
Pediatrics in Jamaica, NY

Active since October 17, 2006PECOS Enrolled
11811 GUY R BREWER BLVD, JAMAICA, NY 11434(718) 945-7150(877) 806-9291 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Sudharani Subba Kotha Md NPPES

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

MRS. SUDHARANI SUBBA KOTHA MD (NPI 1316028590) is an individual pediatrics provider in Jamaica, New York, licensed in New York (207757) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316028590
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMRS. SUDHARANI SUBBA KOTHACredential: MD
Location Address11811 GUY R BREWER BLVDJamaica, NY 11434-2101
Mailing Address11811 Guy R Brewer BlvdJamaica, NY 11434-2101 · (718) 945-7150 · Fax (877) 806-9291
Fax(877) 806-9291
Sole ProprietorNo
Enumeration DateOctober 17, 2006
Last NPPES UpdateNovember 20, 2025
NPPES CertifiedNovember 20, 2025
NPI 1316028590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in NY · 207757
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

11811 GUY R BREWER BLVD, Jamaica, NY 11434

Other Names 1

Former Name (1)Mrs. Kotha Subba Sudharani Md

Other Identifiers 1

Medicaid01847841NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Sudharani Subba Kotha Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11434 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

Other Providers at the Same Location NPPES 3

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

Family Medicine
11811 GUY R BREWER BLVD
JAMAICA, NY 11434
Obstetrics & Gynecology (Maternal & Fetal Medicine)
11811 GUY R BREWER BLVD
JAMAICA, NY 11434
Clinic/Center (Federally Qualified Health Center (FQHC))
11811 GUY R BREWER BLVD
JAMAICA, NY 11434

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316028590, enumerated as an "individual" on October 17, 2006.

The provider is located at 11811 GUY R BREWER BLVD JAMAICA, NY 11434 and the phone number is (718) 945-7150.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.