PURNIMA M. KOTHARI, PHYSICIAN, PC
NPI 1710193024
Pediatrics - Adolescent Medicine in Levittown, NY
About Purnima M. Kothari, Physician, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PURNIMA M. KOTHARI, PHYSICIAN, PC (NPI 1710193024) is a healthcare organization registered as an adolescent medicine in Levittown, New York and active in the NPI registry since May 2007. The organization lists Purnima M Kothari, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Purnima M. Kothari, Physician, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Purnima M. Kothari, Physician, PC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Purnima M. Kothari, Physician, PC's NPI number?
The NPI number for Purnima M. Kothari, Physician, PC is 1710193024. It was assigned to this organization in the NPPES registry on May 15, 2007.
Where is Purnima M. Kothari, Physician, PC located?
Purnima M. Kothari, Physician, PC is located at 54 Heather Ln, Levittown, NY 11756. The listed phone number is (516) 735-1116.
What is Purnima M. Kothari, Physician, PC's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.
Is Purnima M. Kothari, Physician, PC enrolled in Medicare?
Yes. Purnima M. Kothari, Physician, PC is registered in the Medicare PECOS enrollment system.
When is Purnima M. Kothari, Physician, PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Purnima M. Kothari, Physician, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Purnima M. Kothari, Physician, PC, in Family Practice, General Practice and Nurse Practitioner. A 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 the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Purnima M. Kothari, Physician, PC was last updated on January 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Purnima M. Kothari, Physician, Pc · NPI 1710193024
Adolescent Medicine organization in Levittown, New York. Organization record, active in the CMS NPPES registry since May 15, 2007.
## Identity
- **NPI:** 1710193024 (Entity type: Organization)
- **Enumerated:** May 15, 2007
- **Primary specialty:** Pediatrics - Adolescent Medicine · taxonomy 2080A0000X
- **Organization subpart:** No
- **Authorized official:** Purnima Kothari, PRESIDENT
## Practice location
- **Address:** 54 HEATHER LN, Levittown, NY 11756-3334
- **Phone:** (516) 735-1116
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), General Practice (1), Nurse Practitioner (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 25, 2017
- **Other identifiers:** Medicare ID-Type Unspecified 51A702 (NY); Other 02005269 (NY); Medicare UPIN A63054 (NY); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1710193024) · Data from the CMS NPPES public registry.