ADITYA ASHVINBHAI KOTECHA M.D.
NPI 1811375371
Internal Medicine - Pulmonary Disease in Birmingham, AL

Active since May 15, 2015PECOS EnrolledAccepts Medicare Assignment
84.17/100
CMS Quality Rating
619 19TH ST S, BIRMINGHAM, AL 35249(205) 934-4011(205) 297-9411 Get Directions Write a Review

NPPES record last updated: April 6, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 29, 2025, Jan 6, 2025, Apr 6, 2022 and 1 more (4 updates tracked since 2016).

About Aditya Ashvinbhai Kotecha M.d. NPPES

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

ADITYA ASHVINBHAI KOTECHA M.D. (NPI 1811375371) is an individual pulmonary disease provider in Birmingham, Alabama, licensed in Alabama (42811) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1811375371
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameADITYA ASHVINBHAI KOTECHACredential: M.D.
Location Address619 19TH ST SBirmingham, AL 35249-1900
Mailing AddressPo Box 55310Birmingham, AL 35255-5310 · (205) 731-9701
Fax(205) 297-9411
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMay 15, 2015
Last NPPES UpdateApril 6, 20224 updates tracked since enumeration
NPPES CertifiedApril 6, 2022
✔ NPI 1811375371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in AL · 42811
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
619 19TH ST S, Birmingham, AL 35249

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Aditya Ashvinbhai Kotecha M.d. 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 ID345543534
PECOS Enrollment IDI20241111000587
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 Reassignments

3

Medicare enrollment records show Aditya Kotecha reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ambulatory Surgical
3880 TAMIAMI TRL N
Naples, FL 34103
  • Reassigned Medicare billing, Florida enrollment
  • 3,639 clinicians in this Medicare group
Critical Care Medicine
4101 TORRANCE BLVD
Torrance, CA 90503
  • Reassigned Medicare billing, California enrollment
  • 13 clinicians in this Medicare group
Internal Medicine
200 MEDICAL PLAZA, SUITE 365,530,420,250,120,214
Los Angeles, CA 90095
  • Reassigned Medicare billing, California enrollment
  • 1,766 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 3

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
97 services42 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.
43 services20 patients
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.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35249 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.1
Promoting Interoperability100
Improvement Activities40
Cost70.15

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.

Radiology (Diagnostic Radiology)
619 19TH ST S, JT N342
BIRMINGHAM, AL 35249
Internal Medicine (Nephrology)
619 19TH ST S
BIRMINGHAM, AL 35249
Anesthesiology
619 19TH ST S
BIRMINGHAM, AL 35249
Surgery (Surgical Critical Care)
619 19TH ST S
BIRMINGHAM, AL 35249
Nurse Practitioner (Acute Care)
619 19TH ST S
BIRMINGHAM, AL 35249
Pharmacist
619 19TH ST S
BIRMINGHAM, AL 35249
Pathology (Anatomic Pathology & Clinical Pathology)
619 19TH ST S
BIRMINGHAM, AL 35249
Emergency Medicine
619 19TH ST S
BIRMINGHAM, AL 35249

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 Aditya Kotecha's NPI number?

The NPI number for Aditya Kotecha is 1811375371. It was assigned to this individual provider in the NPPES registry on May 15, 2015.

Where is Aditya Kotecha located?

Aditya Kotecha practices at 619 19th St S, Birmingham, AL 35249. The listed phone number is (205) 934-4011.

What is Aditya Kotecha's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Aditya Kotecha enrolled in Medicare?

Yes. Aditya Kotecha 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.

Which organizations bill Medicare for Aditya Kotecha's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Aditya Kotecha reassigns Medicare benefits to 3 organizations: University Of Miami (Naples, FL), Southbay Critical Care A Medical Partnership (Torrance, CA) and The Regents Of The University Of California (Los Angeles, CA). Each 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 Aditya Kotecha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Aditya Kotecha was last updated on April 6, 2022. 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.