SOONA KOTHAWALA
NPI 1326369885
Nurse Practitioner - Acute Care in Rochester, MI

Active since June 18, 2010PECOS EnrolledAccepts Medicare Assignment
1101 W UNIVERSITY DR, ROCHESTER, MI 48307(248) 601-6176 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Soona Kothawala NPPES

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

SOONA KOTHAWALA (NPI 1326369885) is an individual acute care provider in Rochester, Michigan, licensed in Michigan (4704214560) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Health West Bloomfield Hospital, and maintains a secondary practice location in Dearborn.

NPPES Registry Identity

NPI1326369885
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameSOONA KOTHAWALA
Location Address1101 W UNIVERSITY DRRochester, MI 48307-1863
Mailing Address907 Wyandotte AveRoyal Oak, MI 48067-4517
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJune 18, 2010
Last NPPES UpdateJuly 21, 2022
NPPES CertifiedJuly 21, 2022
NPI 1326369885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in MI · 4704214560
1101 W UNIVERSITY DR, Rochester, MI 48307

Secondary Practice Location 1

Location 118101 Oakwood BlvdDearborn, MI 48124-4089 · Phone (313) 982-5442

Other Identifiers 1

OtherPENDINGMI · Blue Cross Blue Sheild

Accepted 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

Soona Kothawala 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 ID6103013644
PECOS Enrollment IDI20101209000235
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 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.

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.
27 services24 patients
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.
26 services23 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.
14 services14 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.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

Henry Ford Health West Bloomfield Hospital

Acute Care Hospitals · West Bloomfield, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230302
Location6777 West Maple RoadWest Bloomfield, MI 48322 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48307 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 20

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

Student in an Organized Health Care Education/Training Program
1101 W UNIVERSITY DR
ROCHESTER, MI 48307
Nurse Anesthetist, Certified Registered
1101 W UNIVERSITY DR
ROCHESTER, MI 48307
Social Worker
1101 W UNIVERSITY DR
ROCHESTER, MI 48307
Student in an Organized Health Care Education/Training Program
1101 W UNIVERSITY DR
ROCHESTER, MI 48307
Internal Medicine
1101 W UNIVERSITY DR
ROCHESTER, MI 48307
Student in an Organized Health Care Education/Training Program
1101 W UNIVERSITY DR
ROCHESTER, MI 48307
Student in an Organized Health Care Education/Training Program
1101 W UNIVERSITY DR
ROCHESTER, MI 48307
Family Medicine
1101 W UNIVERSITY DR
ROCHESTER, MI 48307

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 Soona Kothawala's NPI number?

The NPI number for Soona Kothawala is 1326369885. It was assigned to this individual provider in the NPPES registry on June 18, 2010.

Where is Soona Kothawala located?

Soona Kothawala practices at 1101 W University Dr, Rochester, MI 48307. The listed phone number is (248) 601-6176.

What is Soona Kothawala's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Soona Kothawala enrolled in Medicare?

Yes. Soona Kothawala 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 Soona Kothawala accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Soona Kothawala 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 Soona Kothawala affiliated with any hospitals?

According to CMS data, Soona Kothawala is affiliated with Henry Ford Health West Bloomfield Hospital.

When was this NPI record last updated?

The NPPES record for Soona Kothawala was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.