Revathi Kotla MD PC
NPI 1609343672ActiveOrganization· Internal Medicine, Nephrology· West Orange, NJ
Internal Medicine, Nephrology in West Orange, New Jersey, registered in NPPES in October 2018. The authorized official on file is Revathi Kotla, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1609343672 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 29, 2018 |
| Last updated in NPPES | Oct 29, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Nephrology Primary | 207RN0300X | — | — |
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 Part B Supplier - Clinic/Group Practice (NJ) |
|---|
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