KINNERI KOTHARI (M.D.) – Ophthalmology Physician, NPI 1588084446

KINNERI KOTHARI (M.D.) is a healthcare provider. based in Norwich, Connecticut. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. 61332 (CT). The NPI Number for KINNERI KOTHARI (M.D.) is 1588084446

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
KINNERI KOTHARI (M.D.)
NPI
1588084446
Phone
(860) 886-0161
Address
79 WAWECUS ST STE 105
Enumeration Date
18 April 2014
Last Update Date
11 August 2018

Doctor Profile

Medical School Name
NEW YORK MEDICAL COLLEGE
Secondary Phone
8608860161
Graduation Year
2014 (12 years ago)
PAC ID
5698079424
Group Practice PAC ID
8820062508
Professional Enrollment ID
I20180830000288
Address ID
CT063602173NO79XXXSTXX306
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

324 OPHTHALMOLOGY in CT

Provider Addresses for KINNERI KOTHARI (M.D.)

  • 79 WAWECUS ST STE 105

    NORWICH, CT 063602173

    Phone: (860) 886-0161

    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 17 Open Payments records for all available years, with a total value of $449.

Total Amount is formed as General ($449) + Research ($0) + Ownership ($0) = $449.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($130).

Total Amount

$449

General + Research + Ownership

Payments

17

Total payment records

General Amount

$449

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2018-08-30

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
I20180830000288IOphthalmologyCTTBD

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
92014Established patient complete exam of visual system606552$0
92202Extended exam of the back part of the eye with optic nerve drawing303267$0
99212Established patient office or other outpatient visit, 10-19 minutes220173$0
92134Imaging of retina156135$0
92083Exam of visual field with extended testing128118$0
View full utilization report →

Insurance plans in this area (ZIP 06360)

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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: 8820062508View full group profile
NameSpecialtyState
O P H T H A L M O L O G YCT
O P H T H A L M O L O G YCT
O P T O M E T R YCT
-CT
O P T O M E T R YCT
O P H T H A L M O L O G YPA

Reviews

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Frequently asked questions

Is there an official ID for KINNERI KOTHARI (M.D.) in U.S. healthcare records?
The official identifier for KINNERI KOTHARI (M.D.) is NPI 1588084446.
Is there an active status for KINNERI KOTHARI (M.D.)?
For scheduling context, KINNERI KOTHARI (M.D.) is shown as active in the registry.
How would a patient describe KINNERI KOTHARI (M.D.)'s focus?
For KINNERI KOTHARI (M.D.), the primary taxonomy reads as Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Is KINNERI KOTHARI (M.D.) associated with Norwich?
Public fields place KINNERI KOTHARI (M.D.) around Norwich, Connecticut. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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