Darshan Kothari, M.D.
NPI 1558681353ActiveIndividual· Internal Medicine, Gastroenterology· Utica, NY
Internal Medicine, Gastroenterology (M.D.) with Duke Health Integrated Practice, Inc and 1 other group, practicing in Utica, New York. Their prescriptions cost Medicare Part D more than their services did: $393,935 for 313 claims, against $18,898 paid for services in 2024. Merck Sharp & Dohme LLC reported $875.00 in payments in 2025, mostly consulting fees. Lists Duke Regional Hospital and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1558681353 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Jun 3, 2010 |
| Last updated in NPPES | Dec 22, 2025 |
| Certified by provider | Dec 22, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Gastroenterology Primary | 207RG0100X | 340580 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Gastroenterology (NC); Practitioner - Gastroenterology (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 120 |
|---|---|
| Services billed | 199 across 18 procedure codes |
| Paid by Medicare | $18,898 |
Part D prescriptions in 2024
| Prescriptions (claims) | 313 · 533 30-day fills |
|---|---|
| Patients | 95 |
| Total drug cost | $393,935 |
| Generic share | 56% of claims |
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Gastroenterology |
| Telehealth | Offers telehealth |
Medical groups
- Duke Health Integrated Practice, IncDurham, NC · 3,185 clinicians
- Mvhs IncUtica, NY · 334 clinicians
Hospital affiliations
- Duke Regional HospitalDurham, NC
- Duke University HospitalDurham, NC
- Wynn HospitalUtica, NY
Industry payments (Open Payments)
- 2025$875.00 · 1 payment from 1 company
- 2024$1,400 · 2 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Merck Sharp & Dohme LLC | $875.00 | 1 |
What the 2025 payments were for
- Consulting Fee$875.00 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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