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Kevin Rody Kotamarti

Anesthesiology

Allopathic & Osteopathic Physicians

6200 N La Cholla Blvd, Tucson, AZ 85741-3529

PECOS Enrollment

This provider is enrolled in PECOS as KEVIN KOTAMARTI.

Based on the most recent information from CMS, provider Kevin Rody Kotamarti is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1790163756
Provider Type
Individual
Full Name
Kotamarti, Kevin Rody
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
5/11/2015
Last Updated
11/25/2024

Contact Information

Practice Location

6200 N La Cholla Blvd, Tucson, AZ 85741-3529

(520) 742-9000

(659) 235-6176

Mailing Location

6518 Covecreek Pl, Dallas, TX 75240-5454

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207L00000X Primary	Description Anesthesiology Allopathic & Osteopathic Physicians	License R6427 Texas
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Kevin Rody Kotamarti

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Kathleen P Nichols Md Pc

Wise, Lois E.

Louthan, Michael J

Christopherson, Heather

Almli, Elizabeth S

Ahsaei, Ramin

Catalina Anesthesiology Pc

Daniels, Alden Blake

Rhonda L Nieto Md Pllc

Goldstein, Robert B