HETAL PRAKASH KOTHARI MD
NPI 1417190463
Internal Medicine in Olympia, WA
About Hetal Prakash Kothari Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HETAL PRAKASH KOTHARI MD (NPI 1417190463) is an individual internal medicine provider in Olympia, Washington, licensed in Washington (MD60076666) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS, is affiliated with Providence Centralia Hospital, and is a graduate of Other (2003).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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
Hetal Prakash 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.
Medicare Billing Reassignments
3Medicare enrollment records show Hetal Kothari reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Olympia, WA 98506
- Reassigned Medicare billing, Washington enrollment
- 184 clinicians in this Medicare group
Olympia, WA 98506
- Reassigned Medicare billing, Washington enrollment
- 646 clinicians in this Medicare group
Marysville, WA 98271
- Reassigned Medicare billing, Washington enrollment
- 5 clinicians in this Medicare group
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Providence Centralia Hospital
Acute Care Hospitals · Centralia, WAProvidence St Peter Hospital
Acute Care Hospitals · Olympia, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98506 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
OLYMPIA, WA 98506
OLYMPIA, WA 98506
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 Hetal Kothari's NPI number?
The NPI number for Hetal Kothari is 1417190463. It was assigned to this individual provider in the NPPES registry on April 7, 2009.
Where is Hetal Kothari located?
Hetal Kothari practices at 413 Lilly Rd NE, Olympia, WA 98506. The listed phone number is (360) 493-4083.
What is Hetal Kothari's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Hetal Kothari enrolled in Medicare?
Yes. Hetal Kothari 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 Hetal Kothari's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Hetal Kothari reassigns Medicare benefits to 3 organizations: Providence Health & Services Washington (Olympia, WA), Providence Health & Services Washington (Olympia, WA) and Hoang H Dang, MD, Ps (Marysville, WA). 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 Hetal Kothari's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Hetal Kothari accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Hetal Kothari 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 Hetal Kothari affiliated with any hospitals?
According to CMS data, Hetal Kothari is affiliated with Providence Centralia Hospital and Providence St Peter Hospital.
When was this NPI record last updated?
The NPPES record for Hetal Kothari was last updated on June 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Hetal Prakash Kothari, MD · NPI 1417190463
Internal Medicine physician in Olympia, Washington. Individual provider, active in the CMS NPPES registry since April 7, 2009.
## Identity
- **NPI:** 1417190463 (Entity type: Individual)
- **Enumerated:** April 7, 2009
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** MD60076666 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 413 LILLY RD NE, Olympia, WA 98506-5133
- **Phone:** (360) 493-4083 · **Fax:** (360) 486-6436
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Providence Health & Services Washington (NPI 1346250594, Olympia, WA); Providence Health & Services Washington (NPI 1174744304, Olympia, WA); Hoang H Dang, MD, Ps (NPI 1164775508, Marysville, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** June 16, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1417190463) · Data from the CMS NPPES public registry.