ARUN JOSE KOTTARATHARA MD
NPI 1568852838
Internal Medicine - Nephrology in Wilmington, DE

Active since January 26, 2015PECOS EnrolledAccepts Medicare Assignment
2006 LIMESTONE RD, WILMINGTON, DE 19808(302) 355-2383 Get Directions Write a Review

NPPES record last updated: January 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 12, 2022, Dec 5, 2019, Jun 26, 2017 (3 updates tracked since 2017).

About Arun Jose Kottarathara Md NPPES

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

ARUN JOSE KOTTARATHARA MD (NPI 1568852838) is an individual nephrology provider in Wilmington, Delaware, licensed in Michigan (4301113282) and active in the NPI registry since January 2015. He is enrolled in Medicare PECOS, is affiliated with Cumberland Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1568852838
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameARUN JOSE KOTTARATHARACredential: MD
Location Address2006 LIMESTONE RDWilmington, DE 19808-5553
Mailing Address2006 Limestone RdWilmington, DE 19808-5553 · (302) 355-2383
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateJanuary 26, 2015
Last NPPES UpdateJanuary 19, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2024
NPI 1568852838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses Licensed in MI · 4301113282 Licensed in WA · MD61151370 Licensed in WI · 1676-320
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.
2006 LIMESTONE RD, Wilmington, DE 19808

Other Identifiers 1

Medicaid100193040WI

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

Arun Jose Kottarathara 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.

PECOS PAC ID9436429800
PECOS Enrollment IDI20191024001602, I20220314001812, I20241203000801, I20250320001052
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 2

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.
50 services27 patients
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.
16 services11 patients

Hospital Affiliations CMS Care Compare

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

Cumberland Medical Center

Acute Care Hospitals · Crossville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440009
Location421 S Main StCrossville, TN 38555 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19808 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
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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 3

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

Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers23 claims2,970 services$0.01 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
3 suppliers22 claims22 services$18.09 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
3 suppliers12 claims15 services$11.89 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 Anesthetist, Certified Registered
2006 LIMESTONE RD, SUITE 5
WILMINGTON, DE 19808
Anesthesiology
2006 LIMESTONE RD, SUITE 5
WILMINGTON, DE 19808
Anesthesiology
2006 LIMESTONE RD, SUITE 5
WILMINGTON, DE 19808
Anesthesiology
2006 LIMESTONE RD, SUITE #5
WILMINGTON, DE 19808
Counselor (Addiction (Substance Use Disorder))
2006 LIMESTONE RD
WILMINGTON, DE 19808
Anesthesiology
2006 LIMESTONE RD, SUITE 5
WILMINGTON, DE 19808
Nurse Anesthetist, Certified Registered
2006 LIMESTONE RD, SUITE 5
WILMINGTON, DE 19808
Nurse Anesthetist, Certified Registered
2006 LIMESTONE RD, SUITE 5
WILMINGTON, DE 19808

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 Arun Kottarathara's NPI number?

The NPI number for Arun Kottarathara is 1568852838. It was assigned to this individual provider in the NPPES registry on January 26, 2015.

Where is Arun Kottarathara located?

Arun Kottarathara practices at 2006 Limestone Rd, Wilmington, DE 19808. The listed phone number is (302) 355-2383.

What is Arun Kottarathara's specialty?

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

Is Arun Kottarathara enrolled in Medicare?

Yes. Arun Kottarathara 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 Arun Kottarathara accept?

Health plans from AmeriHealth Caritas Next, Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 8 other insurers list Arun Kottarathara 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 Arun Kottarathara affiliated with any hospitals?

According to CMS data, Arun Kottarathara is affiliated with Cumberland Medical Center.

When was this NPI record last updated?

The NPPES record for Arun Kottarathara was last updated on January 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.