Darshan Kothari, M.D.
NPI 1558681353 · Gastroenterology Physician · Utica, NY
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Darshan Kothari, M.D. is a Gastroenterology Physician provider in Utica, NY (NPI 1558681353).
Provider details
- NPI number
- 1558681353
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 340580 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
16 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
144 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 50 | $132 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 37 | $15 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 34 | $226 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 12 | $95 |
| Colorectal Cancer Screening; Colonoscopy on Individual at High RiskG0105 | 11 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Lipase/Protease/Amylasebrand: Creon | 70 | 19 |
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Gavilyte-G | 37 | 35 |
| Omeprazole | 27 | — |
| Ergocalciferol (vitamin D2)brand: Vitamin D2 | 19 | — |
| Linaclotidebrand: Linzess | 17 | — |
| Amitriptyline Hcl | 11 | — |
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Peg-3350 and Electrolytes |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,400 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-06-03
- Last updated
- 2025-12-22
- Certified
- 2025-12-22
Frequently asked questions
- What is Darshan Kothari's NPI number?
- Darshan Kothari's National Provider Identifier (NPI) is 1558681353, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Darshan Kothari's specialty?
- Darshan Kothari is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Darshan Kothari located?
- Darshan Kothari's practice location on file with NPPES is 111 Hospital Dr, Utica, NY 13502-2517.
- What is Darshan Kothari's phone number?
- The practice phone number listed in the NPPES registry for Darshan Kothari is (315) 917-9966.
- Does Darshan Kothari accept Medicare?
- Darshan Kothari is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Darshan Kothari's NPI active?
- Yes — Darshan Kothari's NPI (1558681353) is active in the NPPES registry as of the last update on 2025-12-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.