SHANI KOTADIA MD
NPI 1619256807
Internal Medicine - Nephrology in Tucson, AZ

Active since August 05, 2011PECOS EnrolledAccepts Medicare Assignment
1645 N SWAN RD, TUCSON, AZ 85712(520) 623-2642(520) 327-9300 Get Directions Write a Review

NPPES record last updated: November 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 5, 2021, Jan 19, 2017 (2 updates tracked since 2017).

About Shani Kotadia Md NPPES

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

SHANI KOTADIA MD (NPI 1619256807) is an individual nephrology provider in Tucson, Arizona, licensed in Pennsylvania (MT199210) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1619256807
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameSHANI KOTADIACredential: MD
Location Address1645 N SWAN RDTucson, AZ 85712-4046
Mailing Address2149 E Warner Rd Ste 102Tempe, AZ 85284-3495 · (480) 610-6100 · Fax (480) 610-6189
Fax(520) 327-9300
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateAugust 5, 2011
Last NPPES UpdateNovember 5, 20212 updates tracked since enumeration
NPPES CertifiedNovember 5, 2021
NPI 1619256807 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 PA · MT199210 Licensed in AZ · 52141
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.
1645 N SWAN RD, Tucson, AZ 85712

Secondary Practice Locations 3

Location 110350 E Drexel Rd Ste 204Tucson, AZ 85747-9405 · Phone (520) 623-2642 · Fax (520) 327-9300
Location 275 Colonia De Salud Ste 200BSierra Vista, AZ 85635-2486 · Phone (520) 623-2642 · Fax (520) 327-9300
Location 3450 S Ocotillo AveBenson, AZ 85602-6403 · Phone (520) 623-2642 · Fax (520) 327-9300

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

Shani Kotadia 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 ID3476777269
PECOS Enrollment IDI20160923001813
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 22

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.
719 services391 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.
308 services116 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.
285 services114 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.
176 services54 patients
Kidney function blood test panel 80069
A kidney function blood test panel checks how well your kidneys are working. It measures levels of various substances in your blood, including proteins, electrolytes, and waste products. The results can help detect potential kidney issues early.
175 services101 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
160 services95 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85712 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 6

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
3 suppliers18 claims1,230 services$0.25 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier13 claims1,950 services$0.01 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers20 claims3,480 services$0.11 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers13 claims1,680 services$1.00 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 suppliers29 claims29 services$17.01 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
4 suppliers31 claims35 services$11.65 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 3

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

Internal Medicine (Nephrology)
1645 N SWAN RD
TUCSON, AZ 85712
Internal Medicine
1645 N SWAN RD
TUCSON, AZ 85712
Internal Medicine (Nephrology)
1645 N SWAN RD
TUCSON, AZ 85712

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 Shani Kotadia's NPI number?

The NPI number for Shani Kotadia is 1619256807. It was assigned to this individual provider in the NPPES registry on August 5, 2011.

Where is Shani Kotadia located?

Shani Kotadia practices at 1645 N Swan Rd, Tucson, AZ 85712. The listed phone number is (520) 623-2642.

What is Shani Kotadia's specialty?

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

Is Shani Kotadia enrolled in Medicare?

Yes. Shani Kotadia 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 Shani Kotadia accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., Oscar Health Plan, Inc. and UnitedHealthcare list Shani Kotadia 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 Shani Kotadia was last updated on November 5, 2021. 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.