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DR. PURNIMA M KOTHARI MD
NPI 1952498750
Pediatrics - Adolescent Medicine in Brooklyn, NY

Active since October 05, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 33D0864812 · Waiver
4609 5TH AVE, BROOKLYN, NY 11220(718) 436-4781(718) 871-8950 Get Directions Write a Review

NPPES record last updated: June 5, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Purnima M Kothari Md NPPES

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

DR. PURNIMA M KOTHARI MD (NPI 1952498750) is an individual adolescent medicine provider in Brooklyn, New York, licensed in New York (146056) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through March 18, 2027, and is a graduate of Other (1975).

NPPES Registry Identity

NPI1952498750
Entity TypeIndividualFemale
Primary Taxonomy2080A0000X
Provider Legal NameDR. PURNIMA M KOTHARICredential: MD
Location Address4609 5TH AVEBrooklyn, NY 11220-1207
Mailing Address4609 5th AveBrooklyn, NY 11220-1207 · (718) 436-4781 · Fax (718) 871-8950
Phone(718) 436-4781
Fax(718) 871-8950
Sole ProprietorYes
Medical School CMSOtherGraduated 1975
Enumeration DateOctober 5, 2006
Last NPPES UpdateJune 5, 2020
NPPES CertifiedJune 5, 2020
✔ NPI 1952498750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in NY · 146056
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
4609 5TH AVE, Brooklyn, NY 11220
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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

Dr. Purnima M Kothari Md 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 ID8921265034
PECOS Enrollment IDI20120201000366
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 Purnima Kothari reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Purnima M. Kothari, Physician, PC
27 mi
Adolescent Medicine
54 HEATHER LN
Levittown, NY 11756
  • Reassigned Medicare billing, New York enrollment
  • 3 clinicians in this Medicare group
NPI 1710193024 (516) 735-1116

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D0864812

Purmina Kothari MD · Brooklyn, NY
Active · expires Mar 18, 2027
CLIA Number33D0864812
Laboratory TypePhysician Office
Certificate Effective DateMarch 19, 2025
Certificate Expiration DateMarch 18, 2027
Laboratory DirectorPurnima M. Kothari
Laboratory Phone(718) 436-4781
Laboratory LocationPurmina Kothari MD4609 5th Ave, Brooklyn, NY 11220
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

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 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.
125 services28 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
13 services13 patients

Other Providers at the Same Location NPPES 4

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

DER-CHENG TSUNG M.D.
Psychiatry & Neurology (Psychiatry)
4609 5TH AVE
BROOKLYN, NY 11220
Kings County (718) 436-4781
DR. JOSEFINA S. VELASQUEZ M.D.
Internal Medicine (Sleep Medicine)
4609 5TH AVE
BROOKLYN, NY 11220
Kings County (718) 436-4781
JESAL SHAH, DMD, P.C.
Dentist (Oral and Maxillofacial Surgery)
4609 5TH AVE, 2ND FLOOR
BROOKLYN, NY 11220
Kings County (718) 854-3191
DR. STEVEN MICHAEL SCHLAMOWITZ M.D.
Pediatrics
4609 5TH AVE
BROOKLYN, NY 11220
Kings County (718) 436-4781

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 Kothari's NPI number?

The NPI number for Purnima Kothari is 1952498750. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Purnima Kothari located?

Purnima Kothari practices at 4609 5th Ave, Brooklyn, NY 11220. The listed phone number is (718) 436-4781.

What is Purnima Kothari's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Purnima Kothari enrolled in Medicare?

Yes. Purnima Kothari 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 organization bills Medicare for Purnima Kothari's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Purnima Kothari reassigns Medicare benefits to Purnima M. Kothari, Physician, PC (Levittown, NY). 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 Purnima Kothari's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does Purnima Kothari hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0864812) is associated with this NPI, valid through March 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Purnima Kothari was last updated on June 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.