DR. KAVITHA MOTHKURI MD
NPI 1629198171
Clinical Medical Laboratory in Irvine, CA

Active since March 29, 2007PECOS EnrolledAccepts Medicare Assignment
4 BLAZING STAR, IRVINE, CA 92604(949) 651-6370 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Feb 11, 2022 (2 updates tracked since 2022).

About Dr. Kavitha Mothkuri Md NPPES

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

DR. KAVITHA MOTHKURI MD (NPI 1629198171) is an individual clinical medical laboratory provider in Irvine, California, licensed in California (A96430) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1629198171
Entity TypeIndividualFemale
Primary Taxonomy291U00000X
Provider Legal NameDR. KAVITHA MOTHKURICredential: MD
Location Address4 BLAZING STARIrvine, CA 92604-3036
Mailing Address4 Blazing StarIrvine, CA 92604-3036 · (949) 651-6370
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateMarch 29, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPI 1629198171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License Licensed in CA · A96430
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
Also ListedHome HealthTaxonomy 251E00000X · License A96430 (CA)
Also ListedHospice Care, Community BasedTaxonomy 251G00000X · License A96430 (CA)
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X · License A96430 (CA)
Also ListedChronic Disease HospitalTaxonomy 281P00000X · License A96430 (CA)
Also ListedLong Term Care HospitalTaxonomy 282E00000X · License A96430 (CA)
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X · License A96430 (CA)
Also ListedResidential Treatment Facility, Physical DisabilitiesTaxonomy 320700000X · License A96430 (CA)
4 BLAZING STAR, Irvine, CA 92604

Other Names 1

Former Name (1)Kavitha Kundharapu Mbbs

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. Kavitha Mothkuri 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 ID7315037223
PECOS Enrollment IDI20071215000245
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.

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 Kavitha Mothkuri's NPI number?

The NPI number for Kavitha Mothkuri is 1629198171. It was assigned to this individual provider in the NPPES registry on March 29, 2007. The provider is also known as Kavitha Kundharapu Mbbs.

Where is Kavitha Mothkuri located?

Kavitha Mothkuri practices at 4 Blazing Star, Irvine, CA 92604. The listed phone number is (949) 651-6370.

What is Kavitha Mothkuri's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Is Kavitha Mothkuri enrolled in Medicare?

Yes. Kavitha Mothkuri 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.

When was this NPI record last updated?

The NPPES record for Kavitha Mothkuri was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.