DR. SUSRUTHA KOTWAL (MD) – Internal Medicine Physician, NPI 1003061060

DR. SUSRUTHA KOTWAL (MD) is a healthcare provider. based in Baltimore, Maryland. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. D74006 (MD). The NPI Number for DR. SUSRUTHA KOTWAL (MD) is 1003061060

Main info

Male
21 Years Of Experience
Name
DR. SUSRUTHA KOTWAL (MD)
NPI
1003061060
Phone
Not provided
Address
PO BOX 64264
Enumeration Date
18 November 2008
Last Update Date
18 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4105500100
Graduation Year
2005 (21 years ago)
PAC ID
5395909709
Group Practice PAC ID
8921903147
Professional Enrollment ID
I20120615000204
Address ID
MD212242735BA4940XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

5,245 INTERNAL MEDICINE in MD

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Provider Addresses for DR. SUSRUTHA KOTWAL (MD)

  • PO BOX 64264

    BALTIMORE, MD 212644264

    Phone:

    Type: Mailing

  • 6201 GREENLEIGH AVE

    MIDDLE RIVER, MD 212202004

    Phone: (410) 933-2704

    Fax: (410) 933-1390

    Type: Mailing

  • Johns Hopkins Bayview Medical Center, 4940, Eastern Avenue, Bayview, Baltimore, Maryland, 21224, United States

    MFL BLDG, WEST TOWER, 6TH FLOOR

    BALTIMORE, MD 212242735

    Phone: (410) 550-5018

    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: 2012-06-15

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
I20120615000204IInternal MedicineMDTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes317130$0
99239Hospital discharge day management, more than 30 minutes4343$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3927$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3333$0
View full utilization report →

Insurance plans in this area (ZIP 21264)

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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: 8921903147View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YTX
Clinical PsychologistMD
Physician AssistantMD
Physician AssistantMD
O P H T H A L M O L O G YMD
Pulmonary Disease, Internal MedicineMD
A N E S T H E S I O L O G YMD
-MD
Emergency Medicine, Internal MedicineMD
Internal Medicine, Hospice/Palliative CareMD

Reviews

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Frequently asked questions

How do payers reference DR. SUSRUTHA KOTWAL (MD)?
For DR. SUSRUTHA KOTWAL (MD), use NPI 1003061060 as the unique 10-digit identifier.
Active or inactive — what applies to DR. SUSRUTHA KOTWAL (MD)?
You should see DR. SUSRUTHA KOTWAL (MD) as active in CMS-hosted NPPES data.
What clinical focus is listed for DR. SUSRUTHA KOTWAL (MD)?
At a glance, DR. SUSRUTHA KOTWAL (MD) is tied to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. SUSRUTHA KOTWAL (MD)?
Directory geography for DR. SUSRUTHA KOTWAL (MD) centers on Baltimore, Maryland.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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