DR. SUJIT KUMAR KOTAPATI (M.D) – Family Medicine Physician, NPI 1336594191

DR. SUJIT KUMAR KOTAPATI (M.D) is a healthcare provider. based in Vancouver, Washington. specializing in FAMILY PRACTICE. They hold the professional credentials M.D. They hold a License No. E-14472 (AR). The NPI Number for DR. SUJIT KUMAR KOTAPATI (M.D) is 1336594191

Main info

Male
18 Years Of Experience
Name
DR. SUJIT KUMAR KOTAPATI (M.D)
NPI
1336594191
Phone
(360) 729-1462
Address
1115 SE 164TH AVE DEPT 358
Enumeration Date
29 April 2016
Last Update Date
30 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5012358295
Graduation Year
2008 (18 years ago)
PAC ID
0547595464
Group Practice PAC ID
1658720297
Professional Enrollment ID
I20210920002686
Address ID
AR721165312NO6929XBLVD501
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

4,141 FAMILY PRACTICE in WA

Provider Addresses for DR. SUJIT KUMAR KOTAPATI (M.D)

  • 1115 SE 164TH AVE DEPT 358

    VANCOUVER, WA 986838004

    Phone: (360) 729-1462

    Fax: (360) 729-3104

    Type: Mailing

  • 4545 CORDATA PKWY STE 2C

    BELLINGHAM, WA 98226

    Phone: (360) 738-2200

    Fax: (360) 752-5686

    Type: Location

  • 6929 JOHN F KENNEDY BLVD STE 104

    NORTH LITTLE ROCK, AR 721165358

    Phone: (501) 235-8295

    Fax: (501) 471-0771

    Type: Location

  • 4301 W MARKHAM ST # 783

    LITTLE ROCK, AR 722057101

    Phone: (501) 686-8000

    Fax: (501) 526-5148

    Type: Mailing

  • 521 JACK STEPHENS DR # 530

    LITTLE ROCK, AR 722055524

    Phone: (501) 686-6560

    Fax: (501) 686-8421

    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: 2021-09-20

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
I20210920002686IFamily PracticeARTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes7859$0
36415Insertion of needle into vein for collection of blood sample1211$0
View full utilization report →

Insurance plans in this area (ZIP 98683)

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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: 1658720297View full group profile
NameSpecialtyState
Family PracticeAR
Family PracticeAR

Reviews

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Frequently asked questions

Can I use this page to confirm DR. SUJIT KUMAR KOTAPATI (M.D)'s NPI?
Yes. DR. SUJIT KUMAR KOTAPATI (M.D) is listed with NPI 1336594191 in the public NPI dataset.
Can I rely on DR. SUJIT KUMAR KOTAPATI (M.D) being an active provider?
As of the registry snapshot, DR. SUJIT KUMAR KOTAPATI (M.D) is marked active.
What is DR. SUJIT KUMAR KOTAPATI (M.D)'s primary classification?
Family Medicine Physician is the headline specialty for DR. SUJIT KUMAR KOTAPATI (M.D) here. Clinical services aligned with this taxonomy classification.
What address line appears for DR. SUJIT KUMAR KOTAPATI (M.D)?
DR. SUJIT KUMAR KOTAPATI (M.D)'s geographic hint is Vancouver, Washington in our summary view.
How many locations tie to this NPI?
6 practice locations appear in the available data.

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