Revathi Kotla MD PC
NPI 1609343672 · Nephrology Physician · West Orange, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Revathi Kotla MD PC is a Nephrology Physician organization in West Orange, NJ (NPI 1609343672).
Provider details
- NPI number
- 1609343672
- Entity type
- Organization
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Revathi Kotla, Owner(973) 758-1650
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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 methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-10-29
- Last updated
- 2018-10-29
Frequently asked questions
- What is Revathi Kotla MD PC's NPI number?
- Revathi Kotla MD PC's National Provider Identifier (NPI) is 1609343672, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revathi Kotla MD PC?
- Revathi Kotla MD PC is classified in the NPPES registry as Nephrology Physician (Allopathic & Osteopathic Physicians).
- Where is Revathi Kotla MD PC located?
- Revathi Kotla MD PC's practice location on file with NPPES is 623 Eagle Rock Ave, West Orange, NJ 07052-2948.
- What is Revathi Kotla MD PC's phone number?
- The practice phone number listed in the NPPES registry for Revathi Kotla MD PC is (973) 736-0687.
- Does Revathi Kotla MD PC accept Medicare?
- Revathi Kotla MD PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Revathi Kotla MD PC?
- The authorized official listed on Revathi Kotla MD PC's NPPES record is Revathi Kotla, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revathi Kotla MD PC's NPI active?
- Yes — Revathi Kotla MD PC's NPI (1609343672) is active in the NPPES registry as of the last update on 2018-10-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.