DR. RAMKRISHNA KOTHUR M.D.
NPI 1922113075
Internal Medicine - Gastroenterology in Sun City, AZ

Active since August 20, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
13640 N 99TH AVE STE 600, SUN CITY, AZ 85351(623) 972-2116(623) 972-0521 Get Directions Write a Review

NPPES record last updated: February 16, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Ramkrishna Kothur M.d. NPPES

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

DR. RAMKRISHNA KOTHUR M.D. (NPI 1922113075) is an individual gastroenterology provider in Sun City, Arizona, licensed in Arizona (30654) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1981).

NPPES Registry Identity

NPI1922113075
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. RAMKRISHNA KOTHURCredential: M.D.
Location Address13640 N 99TH AVE STE 600Sun City, AZ 85351-2867
Mailing Address3020 E Camelback Rd, Suite 301Phoenix, AZ 85016-5095 · (602) 264-9100 · Fax (602) 264-9101
Fax(623) 972-0521
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateAugust 20, 2006
Last NPPES UpdateFebruary 16, 2017
NPI 1922113075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in AZ · 30654
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
13640 N 99TH AVE STE 600, Sun City, AZ 85351

Other Identifiers 1

Medicare UPINE59343AZ

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

Dr. Ramkrishna Kothur 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 ID9537233747
PECOS Enrollment IDI20101022001339
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 12

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.
182 services148 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
162 services137 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
147 services147 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
103 services103 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
101 services97 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
83 services83 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85351 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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 11

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

Specialist
13640 N 99TH AVE STE 600, SUITE C-3
SUN CITY, AZ 85351
Nurse Practitioner (Family)
13640 N 99TH AVE STE 600
SUN CITY, AZ 85351
Internal Medicine (Gastroenterology)
13640 N 99TH AVE STE 600
SUN CITY, AZ 85351
Nurse Practitioner
13640 N 99TH AVE STE 600
SUN CITY, AZ 85351
Nurse Practitioner (Family)
13640 N 99TH AVE STE 600
SUN CITY, AZ 85351
Nurse Practitioner (Family)
13640 N 99TH AVE STE 600
SUN CITY, AZ 85351
Specialist
13640 N 99TH AVE STE 600
SUN CITY, AZ 85351
Physician Assistant
13640 N 99TH AVE STE 600
SUN CITY, AZ 85351

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 Ramkrishna Kothur's NPI number?

The NPI number for Ramkrishna Kothur is 1922113075. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Where is Ramkrishna Kothur located?

Ramkrishna Kothur practices at 13640 N 99th Ave Ste 600, Sun City, AZ 85351. The listed phone number is (623) 972-2116.

What is Ramkrishna Kothur's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Ramkrishna Kothur enrolled in Medicare?

Yes. Ramkrishna Kothur 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 Ramkrishna Kothur accept?

Health plans from Ambetter from Arizona Complete Health and UnitedHealthcare list Ramkrishna Kothur 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 Ramkrishna Kothur was last updated on February 16, 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.