POONAM KOTHARI (MD) – Emergency Medicine Physician, NPI 1609375864

POONAM KOTHARI (MD) is a healthcare provider. based in Lebanon, Pennsylvania. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. MD470753 (PA). The NPI Number for POONAM KOTHARI (MD) is 1609375864

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
POONAM KOTHARI (MD)
NPI
1609375864
Phone
(717) 272-6621
Address
1700 S Lincoln Ave
Enumeration Date
2 February 2018
Last Update Date
28 December 2021

Doctor Profile

Medical School Name
RUTGERS, ROBERT WOOOD JOHNSON MEDICAL SCHOOL
Secondary Phone
5706214000
Graduation Year
2017 (9 years ago)
PAC ID
8527481092
Group Practice PAC ID
1355247180
Professional Enrollment ID
I20200701001295
Address ID
PA179012710PO700XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:8State licenses:2Digital endpointsOther names

3,391 EMERGENCY MEDICINE in PA

Provider Addresses for POONAM KOTHARI (MD)

  • 1700 S Lincoln Ave

    Lebanon, PA 170427529

    Phone: (717) 272-6621

    Type: Location

  • 2752 Century Blvd

    Wyomissing, PA 196103345

    Phone: (610) 378-8800

    Type: Location

  • Chestnut Hill Hospital, 8835, Germantown Avenue, Chestnut Hill, Philadelphia, Philadelphia County, Pennsylvania, 19118, United States

    PHILADELPHIA, PA 191182718

    Phone:

    Type: Mailing

  • 55 MEADOWLANDS PKWY

    SECAUCUS, NJ 070942977

    Phone:

    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: 2021-06-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20200701001295IEmergency MedicinePATBD
I20210603001724IEmergency MedicineNJTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4539$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2424$0
View full utilization report →

Insurance plans in this area (ZIP 17042)

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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: 1355247180View full group profile
NameSpecialtyState
-PA
O P H T H A L M O L O G YPA
Internal MedicinePA
Certified Registered Nurse Anesthetist (Crna)NJ
-PA
Pediatric MedicinePA
P A T H O L O G YTX
Pediatric MedicinePA
O B S T E T R I C S/ G Y N E C O L O G YPA
N E U R O L O G YPA

Reviews

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Frequently asked questions

What NPI should I save for POONAM KOTHARI (MD)?
Save NPI 1609375864 if you need a stable reference for POONAM KOTHARI (MD).
Does this profile mean POONAM KOTHARI (MD) is currently active?
Yes — POONAM KOTHARI (MD) appears active in the national provider directory.
What kind of provider is POONAM KOTHARI (MD)?
The page reflects Emergency Medicine Physician for POONAM KOTHARI (MD). Clinical services aligned with this taxonomy classification.
Where does public data place POONAM KOTHARI (MD)?
The snapshot lists Lebanon, Pennsylvania for POONAM KOTHARI (MD); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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