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NILANJANA KOTHARI
NPI 1477811479
Internal Medicine in Sun Lakes, AZ

Active since April 26, 2012PECOS EnrolledAccepts Medicare Assignment
10440 E RIGGS RD STE 160, SUN LAKES, AZ 85248(480) 895-2049 Get Directions Write a Review

NPPES record last updated: July 16, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 16, 2020, Mar 17, 2018, Oct 25, 2017 (3 updates tracked since 2017).

About Nilanjana Kothari NPPES

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

NILANJANA KOTHARI (NPI 1477811479) is an individual internal medicine provider in Sun Lakes, Arizona, licensed in Arizona (53629) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Phoenix, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1477811479
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameNILANJANA KOTHARI
Location Address10440 E RIGGS RD STE 160Sun Lakes, AZ 85248-7757
Mailing Address4530 E Muirwood Dr Ste 105Phoenix, AZ 85048-7693 · (480) 961-2303 · Fax (480) 961-2306
Phone(480) 895-2049
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateApril 26, 2012
Last NPPES UpdateJuly 16, 20203 updates tracked since enumeration
NPPES CertifiedJuly 16, 2020
✔ NPI 1477811479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in AZ · 53629✔ Licensed in KS · 04-37235
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
10440 E RIGGS RD STE 160, Sun Lakes, AZ 85248
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Secondary Practice Location 1

Location 14530 E Muirwood Dr Ste 105Phoenix, AZ 85048-7693 · Phone (480) 961-2303 · Fax (480) 961-2306

Other Identifiers 1

Medicaid303825AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, UnitedHealthcare.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

Nilanjana Kothari 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 ID941424303
PECOS Enrollment IDI20170920001864
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 14

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.
347 services234 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
229 services179 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
136 services136 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
95 services95 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
31 services31 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
29 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85248 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers17 claims51 services$5.60 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

ANNIE DAI MD
Dermatology
10440 E RIGGS RD STE 160
SUN LAKES, AZ 85248
Maricopa County (480) 905-8485

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 Nilanjana Kothari's NPI number?

The NPI number for Nilanjana Kothari is 1477811479. It was assigned to this individual provider in the NPPES registry on April 26, 2012.

Where is Nilanjana Kothari located?

Nilanjana Kothari practices at 10440 E Riggs Rd Ste 160, Sun Lakes, AZ 85248. The listed phone number is (480) 895-2049.

What is Nilanjana Kothari's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nilanjana Kothari enrolled in Medicare?

Yes. Nilanjana 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.

What insurance does Nilanjana Kothari accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and UnitedHealthcare list Nilanjana 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.

When was this NPI record last updated?

The NPPES record for Nilanjana Kothari was last updated on July 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.