DR. DEEPTHI SHIVANAND KOTIHAL (M.D.) – Family Medicine Physician, NPI 1154581841

DR. DEEPTHI SHIVANAND KOTIHAL (M.D.) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 04-50297 (KS). The NPI Number for DR. DEEPTHI SHIVANAND KOTIHAL (M.D.) is 1154581841

Main info

Female
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. DEEPTHI SHIVANAND KOTIHAL (M.D.)
NPI
1154581841
Phone
(215) 762-6565
Address
1427 Vine St
Enumeration Date
16 June 2008
Last Update Date
28 March 2025

Doctor Profile

Medical School Name
DREXEL UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
3379919276
Graduation Year
2007 (19 years ago)
PAC ID
6204961659
Group Practice PAC ID
6800261819
Professional Enrollment ID
I20250318001453
Address ID
KS662153353LE9100XSTXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience81
Completeness75
Years active:17State licenses:3Digital endpointsOther names

9,967 INTERNAL MEDICINE in PA

Provider Addresses for DR. DEEPTHI SHIVANAND KOTIHAL (M.D.)

  • 1427 Vine St

    605

    Philadelphia, PA 191021031

    Phone: (215) 762-6565

    Type: Location

  • 550, South Peoria Avenue, Pearl District, Tulsa, Tulsa County, Oklahoma, 74120, United States

    TULSA, OK 741203820

    Phone: (918) 588-1900

    Fax: (918) 382-1285

    Type: Mailing

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: 2025-03-18

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
I20250318001453IInternal MedicineKSTBD

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 minutes4230$0
99239Hospital discharge day management, more than 30 minutes1413$0
View full utilization report →

Insurance plans in this area (ZIP 19102)

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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: 6800261819View full group profile
NameSpecialtyState
Nurse PractitionerKS
Nurse PractitionerMO
Family Practice, Internal MedicineMO
Nurse PractitionerKS
Nurse PractitionerKS
Family PracticeMO
Family PracticeMO
Nurse PractitionerKS
Nurse PractitionerKS
Family Practice, General PracticeKS

Reviews

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Frequently asked questions

What federal number belongs to DR. DEEPTHI SHIVANAND KOTIHAL (M.D.)?
The federal identifier for DR. DEEPTHI SHIVANAND KOTIHAL (M.D.) is NPI 1154581841.
Is DR. DEEPTHI SHIVANAND KOTIHAL (M.D.)'s NPI currently valid?
The extract we use shows DR. DEEPTHI SHIVANAND KOTIHAL (M.D.) as active.
Does DR. DEEPTHI SHIVANAND KOTIHAL (M.D.) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for DR. DEEPTHI SHIVANAND KOTIHAL (M.D.). Clinical services aligned with this taxonomy classification.
Where does public data place DR. DEEPTHI SHIVANAND KOTIHAL (M.D.)?
The snapshot lists Philadelphia, Pennsylvania for DR. DEEPTHI SHIVANAND KOTIHAL (M.D.); download NPPES for the complete set.
Is DR. DEEPTHI SHIVANAND KOTIHAL (M.D.) a real provider?
This page reflects official NPPES data for NPI 1154581841. Always confirm identity and privileges with the practice and licensing boards.