JAINEEL KOTHARI (MD) – Internal Medicine Physician, NPI 1134859127

JAINEEL KOTHARI (MD) is a healthcare provider. based in Providence, Rhode Island. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 38488 (NH). The NPI Number for JAINEEL KOTHARI (MD) is 1134859127

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
JAINEEL KOTHARI (MD)
NPI
1134859127
Phone
(401) 793-2930
Address
593 EDDY ST
Enumeration Date
14 June 2022
Last Update Date
17 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6035697500
Graduation Year
2022 (4 years ago)
PAC ID
8224417936
Group Practice PAC ID
7719397835
Professional Enrollment ID
I20250902000469
Address ID
NH038944411WO240XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:3State licenses:2Digital endpointsOther names

1,158 INTERNAL MEDICINE in RI

Provider Addresses for JAINEEL KOTHARI (MD)

  • 593 EDDY ST

    PROVIDENCE, RI 029034923

    Phone: (401) 793-2930

    Fax: (401) 793-2953

    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)

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: 2025-09-02

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
I20250902000469IInternal MedicineNHTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02903)

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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: 7719397835View full group profile
NameSpecialtyState
Internal MedicineMI
Internal MedicineNY
Internal MedicineMA
Internal MedicineNJ

Reviews

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Frequently asked questions

How do I look up JAINEEL KOTHARI (MD) by NPI?
Use NPI 1134859127 when you need to reference JAINEEL KOTHARI (MD) in forms, claims, or directories.
Is JAINEEL KOTHARI (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is JAINEEL KOTHARI (MD)?
The page reflects Internal Medicine Physician for JAINEEL KOTHARI (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for JAINEEL KOTHARI (MD)?
The page summarizes Providence, Rhode Island for JAINEEL KOTHARI (MD); expand the address list for detail.
Is JAINEEL KOTHARI (MD) a real provider?
This page reflects official NPPES data for NPI 1134859127. Always confirm identity and privileges with the practice and licensing boards.

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