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DR. VASUDHA KOTA
NPI 1669092243
Pediatrics in Nixa, MO

Active since April 23, 2020PECOS Enrolled
940 W MOUNT VERNON ST STE 200, NIXA, MO 65714(417) 724-5200 Get Directions Write a Review

NPPES record last updated: July 14, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 14, 2023, Apr 23, 2020 (2 updates tracked since 2020).

About Dr. Vasudha Kota NPPES

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

DR. VASUDHA KOTA (NPI 1669092243) is an individual pediatrics provider in Nixa, Missouri, licensed in Missouri (2023026693) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1669092243
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. VASUDHA KOTA
Location Address940 W MOUNT VERNON ST STE 200Nixa, MO 65714-9613
Mailing Address4201 St. Antoine, Uhc 9c, Graduate Medical EducationDetroit, MI 48201 · (313) 745-6047
Phone(417) 724-5200
Sole ProprietorYes
Enumeration DateApril 23, 2020
Last NPPES UpdateJuly 14, 20232 updates tracked since enumeration
NPPES CertifiedJuly 14, 2023
✔ NPI 1669092243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MO · 2023026693
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
940 W MOUNT VERNON ST STE 200, Nixa, MO 65714
Open in Google Maps ↗

Secondary Practice Locations 2

Location 13901 Beaubien St Ste 3T72Detroit, MI 48201-2119 · Phone (313) 745-1892
Location 24201 St. Antoine, UHC 9C, Graduate Medical EducationDetroit, MI 48201 · Phone (313) 745-6047

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Vasudha Kota is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Vasudha Kota reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mercy Clinic Springfield Communities
7.8 mi
Family Medicine
3231 S NATIONAL AVE STE 220
Springfield, MO 65807
  • Reassigned Medicare billing, Missouri enrollment
  • 1,487 clinicians in this Medicare group
NPI 1245277631 (855) 420-7900

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65714 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

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 Vasudha Kota's NPI number?

The NPI number for Vasudha Kota is 1669092243. It was assigned to this individual provider in the NPPES registry on April 23, 2020.

Where is Vasudha Kota located?

Vasudha Kota practices at 940 W Mount Vernon St Ste 200, Nixa, MO 65714. The listed phone number is (417) 724-5200.

What is Vasudha Kota's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Vasudha Kota enrolled in Medicare?

Yes. Vasudha Kota is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Vasudha Kota's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vasudha Kota reassigns Medicare benefits to Mercy Clinic Springfield Communities (Springfield, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Vasudha Kota's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vasudha Kota accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list Vasudha Kota 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 Vasudha Kota was last updated on July 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.