DR. PREMA KOTHANDARAMAN (M.D.) – Obstetrics & Gynecology Physician, NPI 1073556064

DR. PREMA KOTHANDARAMAN (M.D.) is a healthcare provider. based in Arcadia, California. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. A82019 (CA). The NPI Number for DR. PREMA KOTHANDARAMAN (M.D.) is 1073556064

Main info

Female
Sole Proprietor
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. PREMA KOTHANDARAMAN (M.D.)
NPI
1073556064
Phone
(626) 358-1970
Address
51 N 5TH AVE STE 204
Enumeration Date
14 June 2006
Last Update Date
18 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6263581970
Graduation Year
1987 (39 years ago)
PAC ID
2163329210
Group Practice PAC ID
9739185703
Professional Enrollment ID
I20031216000896
Address ID
CA912064073GL1505XTERX305
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,008 OBSTETRICS/GYNECOLOGY in CA

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Provider Addresses for DR. PREMA KOTHANDARAMAN (M.D.)

  • Arcadia, North Olympus 3, 5th District, Quezon City, Metro Manila, 1124, Philippines

    ARCADIA, CA 910063711

    Phone: (626) 358-1970

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 87 Open Payments records for all available years, with a total value of $1,497.

Total Amount is formed as General ($1,497) + Research ($0) + Ownership ($0) = $1,497.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($471).

Total Amount

$1,497

General + Research + Ownership

Payments

87

Total payment records

General Amount

$1,497

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2003-12-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20031216000896IObstetrics/GynecologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes1,143253$0
64566Insertion of lower leg neurostimulator electrode62388$0
76856Complete ultrasound scan of pelvis124118$0
99215Established patient office or other outpatient visit, 40-54 minutes122121$0
99204New patient office or other outpatient visit, 45-59 minutes8787$0
View full utilization report →

Insurance plans in this area (ZIP 91006)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9739185703View full group profile
NameSpecialtyState
Nurse PractitionerCA

Reviews

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Frequently asked questions

What is DR. PREMA KOTHANDARAMAN (M.D.)'s NPI number?
DR. PREMA KOTHANDARAMAN (M.D.)'s NPI is 1073556064 — the number used across U.S. healthcare to identify this provider.
Is DR. PREMA KOTHANDARAMAN (M.D.) still an active registrant?
DR. PREMA KOTHANDARAMAN (M.D.) carries an active NPI according to the public dataset.
What area of care is associated with DR. PREMA KOTHANDARAMAN (M.D.)?
DR. PREMA KOTHANDARAMAN (M.D.)'s record emphasizes Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Is DR. PREMA KOTHANDARAMAN (M.D.) located near Arcadia?
DR. PREMA KOTHANDARAMAN (M.D.) currently maps to Arcadia, California in this extract.
When was this NPI issued?
Enumeration for DR. PREMA KOTHANDARAMAN (M.D.) is noted as June 14, 2006 where the registry provides it.

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