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VALLARI KOTHARI M.D.
NPI 1942685292
Internal Medicine - Endocrinology, Diabetes & Metabolism in Ansonia, CT

Active since July 29, 2015PECOS Enrolled
97.27/100
CMS Quality Rating
135 DIVISION ST FL 1, ANSONIA, CT 06401(203) 735-3500(203) 735-0505 Get Directions Write a Review

NPPES record last updated: November 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 28, 2020, May 28, 2020 (2 updates tracked since 2020).

About Vallari Kothari M.d. NPPES

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

VALLARI KOTHARI M.D. (NPI 1942685292) is an individual endocrinology, diabetes & metabolism provider in Ansonia, Connecticut, licensed in Connecticut (64301) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1942685292
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameVALLARI KOTHARICredential: M.D.
Location Address135 DIVISION ST FL 1Ansonia, CT 06401-2135
Mailing Address67 Maple AveDerby, CT 06418-1328 · (203) 732-1256 · Fax (203) 732-1539
Phone(203) 735-3500
Fax(203) 735-0505
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 29, 2015
Last NPPES UpdateNovember 28, 20202 updates tracked since enumeration
NPPES CertifiedNovember 28, 2020
✔ NPI 1942685292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in CT · 64301
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License 64301 (CT)
135 DIVISION ST FL 1, Ansonia, CT 06401
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Secondary Practice Location 1

Location 12799 W Grand Blvd, Henry Ford Hospital, Medical Education DepartmentDetroit, MI 48202-2608 · Phone (313) 916-2600

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vallari Kothari M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2365759982
PECOS Enrollment IDI20241003002842
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 7

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.
123 services98 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
67 services50 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
57 services46 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
24 services23 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
23 services16 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.
23 services23 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330059
Location111 East 210th StreetBronx, NY 10467 · Bronx County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06401 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

97.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.68
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers18 claims39 services$6.60 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers12 claims15 services$1.13 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
7 suppliers103 claims103 services$194.67 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Vallari Kothari's NPI number?

The NPI number for Vallari Kothari is 1942685292. It was assigned to this individual provider in the NPPES registry on July 29, 2015.

Where is Vallari Kothari located?

Vallari Kothari practices at 135 Division St Fl 1, Ansonia, CT 06401. The listed phone number is (203) 735-3500.

What is Vallari Kothari's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Vallari Kothari enrolled in Medicare?

Yes. Vallari Kothari is registered in the Medicare PECOS enrollment system.

Is Vallari Kothari affiliated with any hospitals?

According to CMS data, Vallari Kothari is affiliated with Montefiore Medical Center.

When was this NPI record last updated?

The NPPES record for Vallari Kothari was last updated on November 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.