Dr Gautam Himanshu Kothari, DO is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Bordentown, New Jersey. He went to New York College Of Osteo Medicine Of New York Institute Of Technology and graduated in 2004 and has 22 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. He is a member of the group practice Virtua Medical Group, Pa and his current practice location is
243 Us Highway 130 Ste 100, Bordentown, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(609) 267-9400.
Dr Gautam Himanshu Kothari is licensed to practice in New Jersey (license number 25MB08908900) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1821251968.
Physician's Profile
| Full Name | Dr Gautam Himanshu Kothari |
|---|
| Gender | Male |
|---|
| Speciality | Physical Medicine And Rehabilitation |
|---|
| Experience | 22 Years |
|---|
| Location | 243 Us Highway 130 Ste 100, Bordentown, New Jersey |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Dr Gautam Himanshu Kothari attended and graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 2004
NPI Data:
- NPI Number: 1821251968
- Provider Enumeration Date: 07/09/2008
- Last Update Date: 05/02/2025
Medicare PECOS Information:
- PECOS PAC ID: 9931268778
- Enrollment ID: I20110708000458
Medical Identifiers
Medical identifiers for Dr Gautam Himanshu Kothari such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821251968 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | 25MB08908900 (New Jersey) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Virtua Medical Group, Pa | 9830222397 | 1498 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Gautam Himanshu Kothari allows following entities to bill medicare on his behalf.
| Entity Name | Mercer Bucks Orthopaedics P.c. |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1801843511
PECOS PAC ID: 0042116345
Enrollment ID: O20031216000024 |
|---|
| Entity Name | Premier Brain And Spine Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1922771377
PECOS PAC ID: 6608264833
Enrollment ID: O20211021000001 |
|---|
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Gautam Himanshu Kothari is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Gautam Himanshu Kothari, DO
301 Lippincott Dr Ste 410,
Marlton, NJ 08053-4197
Ph: (609) 267-9400 | Dr Gautam Himanshu Kothari, DO
243 Us Highway 130 Ste 100,
Bordentown, NJ 08505-2137
Ph: (609) 267-9400 |
Reviews and Comments