DR. JESSICA JAYA KOTHA (MD) – Emergency Medicine Physician, NPI 1205298452

DR. JESSICA JAYA KOTHA (MD) is a healthcare provider. based in Louisville, Kentucky. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 52602 (KY). The NPI Number for DR. JESSICA JAYA KOTHA (MD) is 1205298452

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. JESSICA JAYA KOTHA (MD)
NPI
1205298452
Phone
Not provided
Address
PO BOX 6749
Enumeration Date
27 March 2016
Last Update Date
25 March 2026

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
5028978100
Graduation Year
2016 (10 years ago)
PAC ID
6608143664
Group Practice PAC ID
2860890704
Professional Enrollment ID
I20190401002546
Address ID
KY402074605LO4000XWAYX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness85
Years active:10State licenses:1Digital endpointsOther names

886 EMERGENCY MEDICINE in KY

Provider Addresses for DR. JESSICA JAYA KOTHA (MD)

  • PO BOX 6749

    LOUISVILLE, KY 402060749

    Phone:

    Type: Mailing

  • 4000 KRESGE WAY

    LOUISVILLE, KY 402074605

    Phone: (502) 897-8141

    Type: Location

  • 530 S JACKSON ST # C1H17

    LOUISVILLE, KY 402021675

    Phone: (502) 852-5689

    Type: Location

  • PO BOX 909

    LOUISVILLE, KY 402010909

    Phone:

    Type: Mailing

  • 1 AUDUBON PLAZA DR

    LOUISVILLE, KY 402171318

    Phone: (502) 636-7225

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2019-04-01

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
I20190401002546IEmergency MedicineKYTBD

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
99285Emergency department visit with high level of medical decision making229224$0
99284Emergency department visit with moderate level of medical decision making8885$0
99291Critical care, first 30-74 minutes3131$0
99283Emergency department visit with low level of medical decision making2827$0
View full utilization report →

Insurance plans in this area (ZIP 40206)

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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: 2860890704View full group profile
NameSpecialtyState
Emergency MedicineKY
Emergency MedicineKY
Emergency MedicineKY
Emergency MedicineKY
Emergency MedicineKY
Emergency MedicineKY
Emergency MedicineKY
Nurse PractitionerKY
Physician AssistantKY
Nurse PractitionerKY

Reviews

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Frequently asked questions

What number should I use to identify DR. JESSICA JAYA KOTHA (MD) for billing?
Administrative and clinical systems typically use NPI 1205298452 for DR. JESSICA JAYA KOTHA (MD).
Quick check: is DR. JESSICA JAYA KOTHA (MD) active?
Public NPPES data shows DR. JESSICA JAYA KOTHA (MD) with an active NPI status right now.
What services align with DR. JESSICA JAYA KOTHA (MD)'s listing?
DR. JESSICA JAYA KOTHA (MD)'s public classification highlights Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. JESSICA JAYA KOTHA (MD)?
DR. JESSICA JAYA KOTHA (MD) is associated with Louisville, Kentucky in the same public data insurers reference.
Why is information missing for DR. JESSICA JAYA KOTHA (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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