DR. MANJUNATH SHIVAMANYA KOTTALGI M.D.
NPI 1497082432
Internal Medicine - Nephrology in Mesa, AZ

Active since November 12, 2009PECOS EnrolledAccepts Medicare Assignment
612 W BASELINE RD, MESA, AZ 85210(480) 834-9039(480) 964-7802 Get Directions Write a Review

NPPES record last updated: May 18, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Manjunath Shivamanya Kottalgi M.d. NPPES

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

DR. MANJUNATH SHIVAMANYA KOTTALGI M.D. (NPI 1497082432) is an individual nephrology provider in Mesa, Arizona, licensed in Arizona (48589) and active in the NPI registry since November 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1497082432
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. MANJUNATH SHIVAMANYA KOTTALGICredential: M.D.
Location Address612 W BASELINE RDMesa, AZ 85210-6041
Mailing Address612 W Baseline RdMesa, AZ 85210-6041 · (480) 834-9039 · Fax (480) 964-7802
Fax(480) 964-7802
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateNovember 12, 2009
Last NPPES UpdateMay 18, 2014
NPI 1497082432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in AZ · 48589
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License 125055930 (IL)
612 W BASELINE RD, Mesa, AZ 85210

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

Dr. Manjunath Shivamanya Kottalgi 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 ID6608099254
PECOS Enrollment IDI20140529000150
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 18

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 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.
659 services136 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
359 services51 patients
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.
198 services129 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
154 services24 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
128 services24 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
118 services43 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85210 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 5

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
11 suppliers82 claims5,835 services$0.25 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers17 claims2,550 services$0.01 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
9 suppliers54 claims10,470 services$0.17 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
8 suppliers59 claims59 services$18.27 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
7 suppliers80 claims81 services$11.41 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 20

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

Nurse Practitioner (Family)
612 W BASELINE RD
MESA, AZ 85210
Nurse Practitioner (Family)
612 W BASELINE RD
MESA, AZ 85210
Internal Medicine (Nephrology)
612 W BASELINE RD
MESA, AZ 85210
Internal Medicine (Nephrology)
612 W BASELINE RD
MESA, AZ 85210
Internal Medicine (Nephrology)
612 W BASELINE RD
MESA, AZ 85210
Internal Medicine (Nephrology)
612 W BASELINE RD
MESA, AZ 85210
Internal Medicine (Nephrology)
612 W BASELINE RD
MESA, AZ 85210
Nurse Practitioner (Family)
612 W BASELINE RD
MESA, AZ 85210

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 Manjunath Shivamanya Kottalgi's NPI number?

The NPI number for Manjunath Shivamanya Kottalgi is 1497082432. It was assigned to this individual provider in the NPPES registry on November 12, 2009.

Where is Manjunath Shivamanya Kottalgi located?

Manjunath Shivamanya Kottalgi practices at 612 W Baseline Rd, Mesa, AZ 85210. The listed phone number is (480) 834-9039.

What is Manjunath Shivamanya Kottalgi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Manjunath Shivamanya Kottalgi enrolled in Medicare?

Yes. Manjunath Shivamanya Kottalgi 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 Manjunath Shivamanya Kottalgi accept?

Health plans from Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and UnitedHealthcare list Manjunath Shivamanya Kottalgi 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 Manjunath Shivamanya Kottalgi was last updated on May 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.